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General NPI Number Information
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NPI Number | 1154837458
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Entity Type | Individual
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Provider Name | KRISTI ZHEKU DMD
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Gender | Male
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 12/21/2017
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Provider Practice Location Address
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Address Line | 4512 N FLAGLER DR STE 301
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3897
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Country | US
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Telephone | 561-260-5145
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S OLIVE AVE UNIT 201
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-5957
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Country | US
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Telephone | 561-781-4640
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23081
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License Number State | FL
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