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General NPI Number Information
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NPI Number | 1255379004
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Entity Type | Organization
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Legal Business Name | FACULTY ASSOCIATES, INC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 9200 113TH ST
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City | SEMINOLE
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State | FL
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Zip | 33772-2800
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Country | US
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Telephone | 727-394-6040
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100425 1600 SW ARCHER ROAD, D4-6
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City | GAINESVILLE
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State | FL
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Zip | 32610-0425
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Country | US
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Telephone | 352-273-5800
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Fax | 352-392-3070
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Authorized Official
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Title or Position | DEAN
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Name | DR. ANA ISABEL GARCIA
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Credential | DDS
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Telephone | 352-273-5800
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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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