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General NPI Number Information
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NPI Number | 1245421650
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Entity Type | Organization
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Legal Business Name | DARRIN CUPO DMD PA
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 19489 SOUTH DIXIE HIGHWAY
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City | MIAMI
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State | FL
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Zip | 33157-7600
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Country | US
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Telephone | 305-278-9914
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Fax | 305-278-9917
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Provider Business Mailing Address
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Address Line | 19489 SOUTH DIXIE HIGHWAY
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City | MIAMI
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State | FL
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Zip | 33157-7600
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Country | US
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Telephone | 305-278-9914
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Fax | 305-278-9917
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. DARRIN CUPO
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Credential | DMD PA
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Telephone | 305-278-9914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN13006
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License Number State | NJ
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