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General NPI Number Information
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NPI Number | 1053860924
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Entity Type | Individual
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Provider Name | ANA PAULA DIAS RIBEIRO DDS, MS, PHD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 1395 CENTER DR DEPARTMENT OF RESTORATIVE DENTAL SCIENCES
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City | GAINESVILLE
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State | FL
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Zip | 32610-0415
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Country | US
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Telephone | 352-294-8285
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Fax | 352-846-1643
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Provider Business Mailing Address
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Address Line | 1395 CENTER DR DEPARTMENT OF RESTORATIVE DENTAL SCIENCES
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City | GAINESVILLE
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State | FL
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Zip | 32610-0415
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Country | US
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Telephone | 352-294-8285
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Fax | 352-846-1643
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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 | DTP639
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DTP639
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License Number State | FL
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