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General NPI Number Information
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NPI Number | 1194591669
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Entity Type | Organization
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Legal Business Name | MMV DMD LLC
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 5500 BEE RIDGE RD STE 101
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City | SARASOTA
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State | FL
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Zip | 34233-1502
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Country | US
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Telephone | 941-371-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 BEE RIDGE RD STE 101
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City | SARASOTA
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State | FL
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Zip | 34233-1502
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Country | US
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Telephone | 941-371-2022
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MITUL PATEL
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Credential | DMD
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Telephone | 941-371-2022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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