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General NPI Number Information
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NPI Number | 1255476222
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Entity Type | Organization
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Legal Business Name | WILLIAM H MYONES DMD PA
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | ONE SW 129TH AVE SUITE 301
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City | PEMBROKE PINES
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State | FL
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Zip | 33027
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Country | US
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Telephone | 954-431-4000
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Fax | 954-432-3705
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Provider Business Mailing Address
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Address Line | ONE SW 129TH AVE SUITE 301
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City | PEMBROKE PINES
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State | FL
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Zip | 33027
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Country | US
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Telephone | 954-431-4000
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Fax | 954-432-3705
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM H MYONES
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Credential | DMD
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Telephone | 954-431-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DN7376
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License Number State | FL
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