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General NPI Number Information
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NPI Number | 1295943694
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Entity Type | Organization
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Legal Business Name | DEERFIELD DENTAL, LLP
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1874 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1420
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Country | US
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Telephone | 561-428-4575
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Fax | 954-428-3708
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Provider Business Mailing Address
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Address Line | 1874 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1420
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Country | US
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Telephone | 561-428-4575
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Fax | 954-428-3708
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Authorized Official
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Title or Position | MEMBER
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Name | DR. ILYA STEIN
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Credential |
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Telephone | 954-428-4575
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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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