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General NPI Number Information
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NPI Number | 1154726099
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Entity Type | Individual
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Provider Name | DR. KARINA LEAL
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Gender | Female
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 1897 PALM BEACH LAKES BLVD SUITE #215
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3507
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Country | US
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Telephone | 561-686-2477
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Fax | 561-686-2699
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Provider Business Mailing Address
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Address Line | 1897 PALM BEACH LAKES BLVD SUITE #215
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3507
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Country | US
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Telephone | 561-686-2477
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Fax | 561-686-2699
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DN14881
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License Number State | FL
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