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General NPI Number Information
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NPI Number | 1205167673
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Entity Type | Organization
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Legal Business Name | TIMUR A SEKERCIOGLU
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Dates
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Enumeration Date | 01/24/2010
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Last Update Date | 01/24/2010
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Provider Practice Location Address
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Address Line | 18044 NW 6TH ST SUITE 103
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2824
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Country | US
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Telephone | 954-436-8500
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Fax | 954-436-8502
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Provider Business Mailing Address
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Address Line | 18044 NW 6TH ST SUITE 103
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2824
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Country | US
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Telephone | 954-436-8500
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Fax | 954-436-8502
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. TIMUR A SEKERCIOGLU
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Credential | DDS, MS
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Telephone | 248-910-0538
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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 | 18584
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License Number State | FL
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