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General NPI Number Information
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NPI Number | 1144128943
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Entity Type | Organization
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Legal Business Name | AVANI DENTAL PLLC
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Dates
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Enumeration Date | 10/30/2026
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Last Update Date | 10/30/2026
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Provider Practice Location Address
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Address Line | 19439 SHUMARD OAK DR UNIT 101
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City | LAND O LAKES
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State | FL
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Zip | 34638-7277
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Country | US
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Telephone | 813-778-2651
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Fax |
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Provider Business Mailing Address
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Address Line | 27006 CORAL SPRINGS DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6664
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Country | US
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Telephone | 813-778-2651
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Fax |
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Authorized Official
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Title or Position | DMD
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Name | JEAN VALDEZ
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Credential |
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Telephone | 813-778-2651
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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 |
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License Number State |
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