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General NPI Number Information
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NPI Number | 1023219771
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Entity Type | Individual
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Provider Name | MAIKEL SEGUI DDS
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 2123 N UNIVERSITY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6134
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Country | US
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Telephone | 954-752-9065
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Fax |
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Provider Business Mailing Address
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Address Line | 6165 NW 99TH WAY
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City | PARKLAND
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State | FL
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Zip | 33076-2573
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Country | US
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Telephone | 305-519-6037
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN16491
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License Number State | FL
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