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General NPI Number Information
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NPI Number | 1306135090
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Entity Type | Organization
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Legal Business Name | CIMA DENTAL LLC
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 5481 N UNIVERSITY DR SUITE 103A
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4643
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Country | US
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Telephone | 954-575-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 5481 N UNIVERSITY DR SUITE 103A
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4643
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Country | US
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Telephone | 954-575-0880
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MARIA ALEJANDRA SEMPRUN
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Credential | DMD
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Telephone | 305-924-5101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN19155
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN19062
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License Number State | FL
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