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NPI 1316540271

NPI 1316540271 : NORIS MERCEDES GIL : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1316540271
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    Entity Type          |    Individual 
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    Provider Name        |    NORIS MERCEDES GIL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/20/2020
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    Last Update Date     |    11/20/2020
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Provider Practice Location Address
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    Address Line         |    3907 E COLONIAL DR 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32803-5209
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    Country              |    US
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    Telephone            |    407-228-0132
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12172 SONNET AVE 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32832-5193
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    Country              |    US
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    Telephone            |    321-439-3847
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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        |    124Q00000X
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    Taxonomy Name        |    Dental Hygienist
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    License Number       |    DH26637
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    License Number State |    FL
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