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General NPI Number Information
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NPI Number | 1164977823
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE DENTAL CARE GROUP OF MARGATE, LLC
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 5404 W ATLANTIC BLVD
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City | MARGATE
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State | FL
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Zip | 33063-5209
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Country | US
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Telephone | 954-974-4400
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Fax | 954-974-4402
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Provider Business Mailing Address
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Address Line | 5404 W ATLANTIC BLVD
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City | MARGATE
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State | FL
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Zip | 33063-5209
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Country | US
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Telephone | 954-974-4400
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Fax | 954-974-4402
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CELIA FIGUEROA
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Credential | DDS
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Telephone | 954-974-4400
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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 | DN13937
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License Number State | FL
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