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General NPI Number Information
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NPI Number | 1124454186
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Entity Type | Organization
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Legal Business Name | ARGUELLO DENTISTRY LLC
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 100 N STATE ROAD 7 SUITE 300
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City | MARGATE
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State | FL
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Zip | 33063-4520
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Country | US
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Telephone | 954-532-1274
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Fax | 954-532-1797
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Provider Business Mailing Address
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Address Line | 100 N STATE ROAD 7 SUITE 300
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City | MARGATE
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State | FL
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Zip | 33063-4520
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Country | US
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Telephone | 954-532-1274
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Fax | 954-532-1797
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Authorized Official
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Title or Position | OWNER
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Name | DR. VIGARNY A ARGUELLO JR.
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Credential | D.M.D
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Telephone | 954-532-1274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN19421
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License Number State | FL
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