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General NPI Number Information
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NPI Number | 1003605247
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Entity Type | Individual
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Provider Name | ERICK DELGADO DMD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 10080 NW 1ST CT
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City | PLANTATION
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State | FL
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Zip | 33324-7035
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Country | US
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Telephone | 954-474-8977
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Fax |
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Provider Business Mailing Address
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Address Line | 975 W 69TH PL
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City | HIALEAH
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State | FL
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Zip | 33014-5217
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Country | US
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Telephone | 305-967-3719
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN30187
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License Number State | FL
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