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General NPI Number Information
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NPI Number | 1316573694
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Entity Type | Organization
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Legal Business Name | JOEL GARCIA BOSS DMD P.A
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Dates
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Enumeration Date | 03/18/2020
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Last Update Date | 06/19/2020
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Provider Practice Location Address
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Address Line | 8441 HERITAGE GREEN WAY
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City | BRADENTON
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State | FL
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Zip | 34212-1400
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Country | US
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Telephone | 941-405-3367
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Fax |
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Provider Business Mailing Address
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Address Line | 1521 MELLON WAY
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City | SARASOTA
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State | FL
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Zip | 34232-2943
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ DENTIST
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Name | DR. JOEL GARCIA BOSS
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Credential | DMD
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Telephone | 941-741-8888
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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 |
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License Number State |
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