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General NPI Number Information
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NPI Number | 1285469635
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Entity Type | Individual
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Provider Name | ESTHER BAK DDS
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Gender | Female
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 4411 NW 8TH AVE STE A
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City | GAINESVILLE
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State | FL
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Zip | 32605-4695
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Country | US
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Telephone | 352-376-7335
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Fax |
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Provider Business Mailing Address
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Address Line | 13510 NW 1ST LN APT 1-208
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City | NEWBERRY
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State | FL
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Zip | 32669-3701
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Country | US
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Telephone |
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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 | 22DI03036000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN29086
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License Number State | FL
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