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NPI 1972936664

NPI 1972936664 : JAMES HO DMD MPH : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1972936664
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    Entity Type          |    Organization 
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    Legal Business Name  |    JAMES HO DMD MPH 
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Dates
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    Enumeration Date     |    08/16/2013
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    Last Update Date     |    08/16/2013
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Provider Practice Location Address
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    Address Line         |    204 CALLE SAN JOSE SUITE 2A
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00901-1515
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    Country              |    US
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    Telephone            |    787-729-3366
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    Fax                  |    787-729-5544
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Provider Business Mailing Address
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    Address Line         |    204 CALLE SAN JOSE SUITE 2A
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00901-1515
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    Country              |    US
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    Telephone            |    787-729-3366
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    Fax                  |    787-729-5544
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     RUBEN ANTONIO GELY 
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    Credential           |    AINS ARM
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    Telephone            |    787-565-3046
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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       |    
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    License Number State |    
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