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General NPI Number Information
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NPI Number | 1326322678
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Entity Type | Organization
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Legal Business Name | JOSSETTE VO, D.M.D., P.A.
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 6339 -1 ARGYLE FOREST BLVD 1
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City | JACKSONVILLE
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State | FL
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Zip | 32244-6666
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Country | US
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Telephone | 904-551-7440
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Fax |
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Provider Business Mailing Address
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Address Line | 6339 -1 ARGYLE FOREST BLVD 1
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City | JACKSONVILLE
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State | FL
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Zip | 32244-6666
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Country | US
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Telephone | 904-551-7440
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSSETTE VO
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Credential | D.M.D.
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Telephone | 904-551-7440
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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 | DN 16874
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License Number State | FL
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