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General NPI Number Information
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NPI Number | 1144093485
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Entity Type | Organization
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Legal Business Name | TOTS RELEASE CENTERS, PLLC
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 6026 PARK BLVD N FL 6026
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City | PINELLAS PARK
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State | FL
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Zip | 33781-3228
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Country | US
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Telephone | 727-238-7722
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 W TAMPA BAY BLVD APT F104
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City | TAMPA
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State | FL
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Zip | 33607-1324
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Country | US
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Telephone | 407-468-7609
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. CAROLINA ESCOBEDO
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Credential | DMD
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Telephone | 407-468-7609
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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