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General NPI Number Information
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NPI Number | 1982817789
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Entity Type | Organization
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Legal Business Name | OFICINA DENTAL DR Y DRA SHEPLAN
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 8169 CALLE CONCORDIA STE 404 COND SAN VICENTE
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City | PONCE
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State | PR
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Zip | 00717-1566
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Country | US
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Telephone | 787-844-3136
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Fax | 787-842-1772
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Provider Business Mailing Address
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Address Line | 8169 CALLE CONCORDIA STE 404 COND SAN VICENTE
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City | PONCE
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State | PR
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Zip | 00717-1566
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Country | US
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Telephone | 787-844-3136
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRUCE R SHEPLAN
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Credential | DMD
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Telephone | 787-844-3136
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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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