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General NPI Number Information
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NPI Number | 1225261597
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Entity Type | Organization
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Legal Business Name | A DENTAL ART
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | 8903 W OAKLAND PARK BLVD
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City | SUNRISE
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State | FL
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Zip | 33351-7217
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Country | US
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Telephone | 954-578-8815
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Fax | 954-578-8813
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Provider Business Mailing Address
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Address Line | 8903 W OAKLAND PARK BLVD
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City | SUNRISE
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State | FL
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Zip | 33351-7217
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Country | US
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Telephone | 954-578-8815
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Fax | 954-578-8813
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Authorized Official
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Title or Position | ONWER
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Name | DR. LINA F NARBONE
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Credential |
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Telephone | 954-578-8815
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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 | 14632
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License Number State | FL
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