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NPI 1063991040

NPI 1063991040 : DENTAL CARE & MORE, CORP : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1063991040
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    Entity Type          |    Organization 
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    Legal Business Name  |    DENTAL CARE & MORE, CORP 
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Dates
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    Enumeration Date     |    08/09/2018
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    Last Update Date     |    08/09/2018
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Provider Practice Location Address
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    Address Line         |    11541 QUAIL ROOST DR 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33157-6566
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    Country              |    US
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    Telephone            |    786-389-9005
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11541 QUAIL ROOST DR 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33157-6566
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    Country              |    US
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    Telephone            |    786-389-9005
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     VIRGINIA DEL CARMEN BATISTA 
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    Credential           |    DDS
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    Telephone            |    786-389-9005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DN18983
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    License Number State |    FL
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