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General NPI Number Information
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NPI Number | 1144035999
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Entity Type | Organization
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Legal Business Name | A&R FAMILY DENTAL PRACTICE, LLC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 12750 NW 17TH ST UNIT 212
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City | MIAMI
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State | FL
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Zip | 33182-1422
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Country | US
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Telephone | 786-542-5974
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Fax |
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Provider Business Mailing Address
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Address Line | 12750 NW 17TH ST UNIT 212
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City | MIAMI
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State | FL
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Zip | 33182-1422
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Country | US
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Telephone | 786-542-5974
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | GLENDA L ARRABAL
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Credential | DMD
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Telephone | 786-542-5974
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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