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General NPI Number Information
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NPI Number | 1063141620
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Entity Type | Individual
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Provider Name | ZAKIYA CHARLASSIER D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 13889 WELLINGTON TRCE STE A5-A6
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City | WELLINGTON
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State | FL
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Zip | 33414-2121
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Country | US
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Telephone | 561-795-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 1129 SW 44TH WAY
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8257
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Country | US
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Telephone | 613-355-4926
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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 | DN26962
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License Number State | FL
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