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General NPI Number Information
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NPI Number | 1124345962
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Entity Type | Individual
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Provider Name | EMMANUELLE ANNE-MARIE ZENNIE D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 3 ISLAND AVE APT 3D
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City | MIAMI BEACH
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State | FL
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Zip | 33139-1332
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Country | US
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Telephone | 305-502-4580
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Fax |
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Provider Business Mailing Address
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Address Line | 3 ISLAND AVE APT 3D
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City | MIAMI BEACH
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State | FL
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Zip | 33139-1332
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Country | US
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Telephone | 305-502-4580
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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 | DN 18922
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License Number State | FL
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