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General NPI Number Information
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NPI Number | 1144615683
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Entity Type | Organization
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Legal Business Name | OCOEE DENTAL CARE P.A.
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 04/01/2015
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Provider Practice Location Address
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Address Line | 11140 W. COLONIAL DR. SUITE 7
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City | OCOEE
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State | FL
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Zip | 34761
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Country | US
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Telephone | 407-656-1121
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Fax | 407-656-4944
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Provider Business Mailing Address
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Address Line | 11140 W. COLONIAL DRIVE SUITE 7
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City | OCOEE
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State | FL
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Zip | 34761
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Country | US
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Telephone | 407-656-1121
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Fax | 407-656-4944
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMESH C. BHATHEJA
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Credential | B.DS
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Telephone | 407-656-1121
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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 | D9548
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License Number State | FL
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