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General NPI Number Information
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NPI Number | 1104222439
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Entity Type | Organization
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Legal Business Name | ANA I. GONZALEZ-GILVER,D.D.S.,P.A.
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 3934 SW 8TH ST SUITE 203
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City | CORAL GABLES
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State | FL
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Zip | 33134-2949
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Country | US
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Telephone | 305-442-4810
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Fax | 305-442-4811
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Provider Business Mailing Address
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Address Line | 3934 SW 8TH ST SUITE 203
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City | CORAL GABLES
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State | FL
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Zip | 33134-2949
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Country | US
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Telephone | 305-442-4810
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Fax | 305-442-4811
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ANA ISABEL GONZALEZ-GILVER
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Credential | D.D.S.
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Telephone | 305-442-4810
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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 | DN 15412
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License Number State | FL
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