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General NPI Number Information
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NPI Number | 1114593845
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Entity Type | Individual
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Provider Name | GEORGE BARD DDS
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Gender | Male
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 260 95TH ST STE 202
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City | SURFSIDE
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State | FL
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Zip | 33154-2807
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Country | US
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Telephone | 305-865-0453
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 NW 101ST WAY
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City | PLANTATION
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State | FL
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Zip | 33322-6555
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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 |
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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 | DN26635
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License Number State | FL
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