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General NPI Number Information
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NPI Number | 1245669209
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Entity Type | Individual
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Provider Name | MALAIKA RIBAS DAVIDSON DMD
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Gender | Female
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Dates
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Enumeration Date | 11/10/2013
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 8500 SW 92ND ST. SUITE #203
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City | MIAMI
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State | FL
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Zip | 33156-7390
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Country | US
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Telephone | 305-271-5321
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Fax |
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Provider Business Mailing Address
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Address Line | 7968 CAMINO CIR
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City | MIAMI
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State | FL
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Zip | 33143-6705
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Country | US
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Telephone | 786-529-6880
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DN20438
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License Number State | FL
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