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NPI 1225177181

NPI 1225177181 : GORDON D. SOKOLOFF D.D.S. : CORAL GABLES, FL

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General NPI Number Information
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    NPI Number           |    1225177181
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    Entity Type          |    Organization 
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    Legal Business Name  |    GORDON D. SOKOLOFF D.D.S. 
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Dates
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    Enumeration Date     |    02/06/2007
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    Last Update Date     |    06/28/2012
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Provider Practice Location Address
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    Address Line         |    220 MIRACLE MILE SUITE 228
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33134-5910
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    Country              |    US
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    Telephone            |    305-567-1992
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    Fax                  |    305-567-9598
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Provider Business Mailing Address
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    Address Line         |    220 MIRACLE MILE SUITE 228
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33134-5910
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    Country              |    US
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    Telephone            |    305-567-1992
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    Fax                  |    305-567-9598
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |    DR. GORDON D. SOKOFF 
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    Credential           |    D.D.S.
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    Telephone            |    305-567-1992
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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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