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General NPI Number Information
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NPI Number | 1952484743
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Entity Type | Individual
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Provider Name | RAMON ENRIQUE RAFFUCCI JR. DMD
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | KL-5 FIDALGO DIAZ AVE. VILLA FONTANA
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City | CAROLINA
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State | PR
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Zip | 00983-0000
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Country | US
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Telephone | 787-752-5315
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Fax | 787-752-5315
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Provider Business Mailing Address
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Address Line | VILLAS DE LAS AMERICAS B-15 BZ.50
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City | SAN JUAN
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State | PR
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Zip | 00927-0000
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Country | US
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Telephone | 787-752-5315
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Fax | 787-752-5315
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1273
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License Number State | PR
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