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General NPI Number Information
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NPI Number | 1215803176
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Entity Type | Organization
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Legal Business Name | AET 2 380, PA
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 7270 NW 12TH ST SUITE 380
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City | MIAMI
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State | FL
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Zip | 33126-1900
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Country | US
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Telephone | 305-771-9353
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Fax | 305-701-6027
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Provider Business Mailing Address
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Address Line | 7270 NW 12TH ST SUITE 380
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City | MIAMI
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State | FL
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Zip | 33126-1900
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Country | US
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Telephone | 305-771-9353
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Fax | 305-701-6027
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Authorized Official
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Title or Position | PRESIDENT
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Name | FILBERTO J HERDOCIA
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Credential | DDS
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Telephone | 305-771-9353
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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 |
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License Number State |
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