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General NPI Number Information
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NPI Number | 1013426030
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Entity Type | Individual
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Provider Name | DR. HELEN MARIA CARMENATE
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Gender | Female
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 09/21/2017
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Provider Practice Location Address
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Address Line | 750 NW 20TH ST
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City | MIAMI
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State | FL
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Zip | 33127
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Country | US
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Telephone | 305-363-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 W 40TH PL
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City | HIALEAH
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State | FL
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Zip | 33012
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Country | US
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Telephone | 786-241-3080
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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 | 23033
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License Number State | FL
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