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General NPI Number Information
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NPI Number | 1134545544
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Entity Type | Organization
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Legal Business Name | SALVADOR ROSALES DDS PA
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 8150 SW 8TH ST STE 206
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City | MIAMI
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State | FL
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Zip | 33144-4273
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Country | US
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Telephone | 305-261-5556
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Fax | 305-261-5429
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Provider Business Mailing Address
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Address Line | 8150 SW 8TH ST STE 206
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City | MIAMI
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State | FL
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Zip | 33144-4273
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Country | US
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Telephone | 305-261-5556
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Fax | 305-261-5429
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SALVADOR ROSALES
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Credential | DDS
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Telephone | 305-261-5556
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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 | DN12058
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License Number State | FL
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