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General NPI Number Information
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NPI Number | 1093273922
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Entity Type | Organization
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Legal Business Name | JOEL BAEZ, D.M.D, P.A
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Dates
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Enumeration Date | 03/10/2019
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Last Update Date | 03/10/2019
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Provider Practice Location Address
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Address Line | 160 SE 6TH AVE STE B-1
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5264
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Country | US
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Telephone | 561-276-6684
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Fax | 561-276-6685
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Provider Business Mailing Address
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Address Line | 160 SE 6TH AVE STE B-1
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5264
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Country | US
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Telephone | 561-276-6684
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOEL BAEZ
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Credential | DMD
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Telephone | 561-276-6684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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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 |
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License Number State |
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