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General NPI Number Information
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NPI Number | 1225642572
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Entity Type | Organization
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Legal Business Name | DENTAL ASSET MANAGEMENT
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 9121 N MILITARY TRL STE 209
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-5988
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Country | US
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Telephone | 561-694-8380
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Fax | 561-472-8807
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Provider Business Mailing Address
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Address Line | 9121 N MILITARY TRL STE 209
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-5988
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Country | US
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Telephone | 561-694-8380
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Fax | 561-472-8807
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Authorized Official
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Title or Position | OWER
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Name | DR. ANDREW E RUDNICK
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Credential | DMD
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Telephone | 561-625-1991
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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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