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General NPI Number Information
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NPI Number | 1043943012
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Entity Type | Individual
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Provider Name | RAQUEL HADAD DDS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 2332 SW 82ND CT
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City | MIAMI
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State | FL
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Zip | 33155-1247
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Country | US
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Telephone | 786-267-0218
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Fax |
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Provider Business Mailing Address
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Address Line | 14195 SW 87TH ST APT 106B
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City | MIAMI
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State | FL
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Zip | 33183-4419
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Country | US
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Telephone | 786-468-6942
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 27253
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License Number State | FL
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