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General NPI Number Information
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NPI Number | 1053010892
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Entity Type | Organization
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Legal Business Name | SUNKIDZ PEDIATRIC DENTISTRY GROUP PLANTATION LLC
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 01/20/2024
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Provider Practice Location Address
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Address Line | 9675 W BROWARD BLVD
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City | PLANTATION
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State | FL
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Zip | 33324-2321
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Country | US
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Telephone | 305-310-6858
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Fax |
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Provider Business Mailing Address
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Address Line | 9675 W BROWARD BLVD
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City | PLANTATION
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State | FL
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Zip | 33324-2321
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Country | US
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Telephone | 954-669-1450
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Fax | 954-820-8859
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Authorized Official
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Title or Position | DENTIST AND OWNER
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Name | DR. RITA PATEL
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Credential | DMD
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Telephone | 305-800-5439
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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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