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General NPI Number Information
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NPI Number | 1316155211
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Entity Type | Organization
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Legal Business Name | ROBERT A. CHERRY, D.D.S., F.A.G.D.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12683 W SUNRISE BLVD
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City | SUNRISE
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State | FL
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Zip | 33323-0907
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Country | US
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Telephone | 954-846-2222
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Fax | 954-846-2288
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Provider Business Mailing Address
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Address Line | 12657 NW 68TH DR
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City | PARKLAND
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State | FL
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Zip | 33076-1965
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Country | US
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Telephone | 954-255-0608
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | ROBERT A. CHERRY
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Credential | DDS
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Telephone | 954-846-2222
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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 | DN0015120
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License Number State | FL
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