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General NPI Number Information
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NPI Number | 1013786300
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Entity Type | Organization
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Legal Business Name | ELA DENTAL STUDIO, P.A.
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 2525 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33135-3005
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Country | US
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Telephone | 786-245-6181
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Fax |
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Provider Business Mailing Address
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Address Line | 3206 NW 89TH TER
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4422
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELEINE LAFFITA
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Credential | DMD
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Telephone | 832-296-4098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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