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General NPI Number Information
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NPI Number | 1104184324
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Entity Type | Individual
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Provider Name | STEINGRIMUR N HERMANNSSON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2012
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 700 N HIATUS RD STE 102
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-5206
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Country | US
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Telephone | 954-392-1635
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Fax |
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Provider Business Mailing Address
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Address Line | 20024 NW 56TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-4601
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Country | US
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Telephone | 954-736-9397
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN11610
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License Number State | FL
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