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General NPI Number Information
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NPI Number | 1962932244
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Entity Type | Individual
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Provider Name | YADIEL CALDERO QUINONES DMD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | CARR. 152 KM 11.7 BO. CEDRO ARRIBA
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City | NARANJITO
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State | PR
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Zip | 00719
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Country | US
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Telephone | 787-869-7335
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Fax | 787-276-2205
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Provider Business Mailing Address
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Address Line | HC 6 BOX 12571
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City | COROZAL
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State | PR
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Zip | 00783-7845
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Country | US
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Telephone | 787-448-8807
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 3267
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License Number State | PR
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