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General NPI Number Information
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NPI Number | 1174638191
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Entity Type | Organization
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Legal Business Name | HOWARD L. PASEKOFF D.M.D., P.A.
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 12/05/2013
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Provider Practice Location Address
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Address Line | 3185 ST JAMES DRIVE
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City | BOCA RATON
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State | FL
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Zip | 33434
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Country | US
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Telephone | 561-487-0595
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Fax | 561-483-6410
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Provider Business Mailing Address
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Address Line | 3185 ST. JAMES DRIVE
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City | BOCA RATON
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State | FL
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Zip | 33434
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Country | US
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Telephone | 561-487-0595
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Fax | 561-483-6410
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD L. PASEKOFF
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Credential | D.M.D.
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Telephone | 561-487-0595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 6099
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License Number State | FL
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