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General NPI Number Information
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NPI Number | 1033809587
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Entity Type | Individual
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Provider Name | LUIZ FELIPE SERVAT DDS
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Gender | Male
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Dates
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Enumeration Date | 05/09/2023
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1157 FIRST COLONIAL RD STE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-2432
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Country | US
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Telephone | 757-548-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 4779 COLLINS AVE APT 1806
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3254
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Country | US
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Telephone | 203-970-0871
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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 | 0401419606
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License Number State | VA
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