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General NPI Number Information
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NPI Number | 1073381422
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Entity Type | Organization
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Legal Business Name | NAVARRO DENTAL HALLANDALE BEACH INC
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Dates
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Enumeration Date | 12/14/2023
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 2100 E HALLANDALE BEACH BLVD STE 409
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-3772
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Country | US
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Telephone | 954-456-9844
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 E HALLANDALE BEACH BLVD STE 409
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-3772
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIANELYS NAVARRO SANCHEZ
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Credential | DMD
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Telephone | 786-372-1180
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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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