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NPI 1023288644

NPI 1023288644 : MIGUEL FERRER DDS PA : LAKE WORTH, FL

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General NPI Number Information
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    NPI Number           |    1023288644
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    Entity Type          |    Organization 
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    Legal Business Name  |    MIGUEL FERRER DDS PA 
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Dates
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    Enumeration Date     |    03/11/2008
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    Last Update Date     |    03/11/2008
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Provider Practice Location Address
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    Address Line         |    6462 LAKE WORTH RD 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33463
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    Country              |    US
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    Telephone            |    561-641-8985
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    Fax                  |    561-641-9955
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Provider Business Mailing Address
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    Address Line         |    6462 LAKE WORTH RD 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33463
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    Country              |    US
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    Telephone            |    561-641-8985
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    Fax                  |    561-641-9955
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |    DR. MIGUEL  FERRER 
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    Credential           |    DDS
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    Telephone            |    561-641-8985
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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       |    DN13360
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    License Number State |    FL
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