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General NPI Number Information
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NPI Number | 1144920273
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Entity Type | Individual
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Provider Name | ROSE SHAKIB
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Gender | Female
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 660 NE 95TH ST
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2758
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Country | US
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Telephone | 305-754-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 COLLINS AVE APT 5V
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2406
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Country | US
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Telephone | 516-316-4442
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 28532
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License Number State | FL
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