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General NPI Number Information
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NPI Number | 1235244583
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Entity Type | Organization
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Legal Business Name | MIRTHA AMADOR, DMD, PA
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 357 ALMERIA AVE STE 105
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City | CORAL GABLES
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State | FL
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Zip | 33134-5801
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Country | US
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Telephone | 305-569-9001
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Fax | 305-444-9882
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Provider Business Mailing Address
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Address Line | 357 ALMERIA AVENUE, STE 105
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City | CORAL GABLES
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State | FL
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Zip | 33134-5902
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Country | US
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Telephone | 305-569-9001
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Fax | 305-444-9882
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. MIRTHA AMADOR
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Credential | DMD
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Telephone | 305-569-9001
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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 | DN0013149
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN13027
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License Number State | FL
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