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General NPI Number Information
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NPI Number | 1033807706
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Entity Type | Individual
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Provider Name | PAULO HENRIQUE LAINO DDS
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Gender | Male
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 11135 S JOG RD STE 3
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-1817
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Country | US
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Telephone | 561-733-3361
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Fax |
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Provider Business Mailing Address
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Address Line | 6013 NW 47TH PL
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2118
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Country | US
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Telephone | 561-563-0217
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN29477
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number | 20161052597
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH28742
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2536
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License Number State | FL
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