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General NPI Number Information
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NPI Number | 1316493497
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Entity Type | Individual
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Provider Name | PAMELA ORTIZ PEREZ D.D.S
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Gender | Female
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 386 N ROCK ISLAND RD
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City | MARGATE
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State | FL
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Zip | 33063-4914
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Country | US
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Telephone | 549-669-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 386 N ROCK ISLAND RD
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City | MARGATE
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State | FL
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Zip | 33063-4914
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Country | US
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Telephone | 549-669-1313
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 058772-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN22502
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License Number State | FL
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