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General NPI Number Information
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NPI Number | 1043005200
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Entity Type | Organization
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Legal Business Name | NARANJA PEDIATRIC DENTISTRY LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 27000 S DIXIE HWY
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City | NARANJA
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State | FL
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Zip | 33032-7315
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Country | US
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Telephone | 305-489-1071
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Fax | 305-359-7863
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Provider Business Mailing Address
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Address Line | 16782 SW 88TH ST UNIT 382
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City | MIAMI
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State | FL
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Zip | 33196-5934
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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 | PEDIATRIC DENTIST
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Name | FERGIE ALEXA MOLINA
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Credential | DMD
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Telephone | 786-378-9028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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