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General NPI Number Information
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NPI Number | 1144249780
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Entity Type | Individual
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Provider Name | STEVEN DAVID PERROTTI D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2375 SW 27 AVENUE
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City | MIAMI
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State | FL
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Zip | 33145
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Country | US
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Telephone | 305-856-2300
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Fax | 305-856-0921
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Provider Business Mailing Address
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Address Line | 6305 GAGE PL APT 102-A
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2323
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Country | US
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Telephone | 305-557-4262
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 15477
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License Number State | FL
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