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General NPI Number Information
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NPI Number | 1154595023
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Entity Type | Organization
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Legal Business Name | CONTE'S DENTAL GROUP
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 4801 S CONGRESS AVE
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City | LAKE WORTH
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State | FL
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Zip | 33461-4746
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Country | US
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Telephone | 561-969-2696
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Fax | 561-969-0993
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Provider Business Mailing Address
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Address Line | 4801 S CONGRESS AVE
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City | LAKE WORTH
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State | FL
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Zip | 33461-4746
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Country | US
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Telephone | 561-969-2696
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Fax | 561-969-0993
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Authorized Official
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Title or Position | DENTIST
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Name | DR. EUGENIO CONTE
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Credential | DDS
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Telephone | 561-969-2696
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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 | DN12138
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License Number State | FL
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