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General NPI Number Information
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NPI Number | 1316388820
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Entity Type | Individual
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Provider Name | MARVIN ANTONIO ABARCA D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 1330 CORAL WAY STE 406
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City | MIAMI
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State | FL
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Zip | 33145-2945
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Country | US
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Telephone | 305-285-8341
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Fax | 786-265-0168
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Provider Business Mailing Address
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Address Line | 7983 NW 186TH TER
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City | HIALEAH
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State | FL
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Zip | 33015-7204
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Country | US
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Telephone | 305-778-4722
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN20210
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License Number State | FL
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