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General NPI Number Information
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NPI Number | 1083842553
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Entity Type | Organization
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Legal Business Name | INNOVATION DENTISTRY, PL
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 9145 NARCOOSSEE RD SUITE A-100
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City | ORLANDO
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State | FL
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Zip | 32827-5768
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Country | US
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Telephone | 407-808-6662
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Fax | 407-601-7966
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Provider Business Mailing Address
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Address Line | 9145 NARCOOSSEE RD SUITE A-100
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City | ORLANDO
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State | FL
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Zip | 32827-5768
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Country | US
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Telephone | 407-808-6662
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Fax | 407-601-7966
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Authorized Official
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Title or Position | DENTIST/OFFICE MANAGER
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Name | DR. SHEILA YASBECK RAMIREZ
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Credential |
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Telephone | 407-808-6662
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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 |
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License Number State |
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