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General NPI Number Information
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NPI Number | 1225564347
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Entity Type | Organization
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Legal Business Name | ARELLANO DENTAL, P.A.
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 3835 N LECANTO HWY
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-3506
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Country | US
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Telephone | 786-312-4278
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Fax |
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Provider Business Mailing Address
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Address Line | 3835 N LECANTO HWY
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-3506
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Country | US
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Telephone | 786-312-4278
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EVELYN XIOMARA ARELLANO
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Credential | DENTIST
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Telephone | 786-312-4278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN19472
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License Number State | FL
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