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General NPI Number Information
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NPI Number | 1326478470
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Entity Type | Organization
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Legal Business Name | DENTAL ASSOCIATES OF KENDALL DDS PA
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 11400 N KENDALL DR 207
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City | MIAMI
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State | FL
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Zip | 33176-1029
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Country | US
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Telephone | 305-271-2254
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Fax |
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Provider Business Mailing Address
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Address Line | 11400 N KENDALL DR 207
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City | MIAMI
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State | FL
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Zip | 33176-1029
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Country | US
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Telephone | 305-271-2254
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Fax |
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Authorized Official
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Title or Position | VP INSURANCE PLAN MANAGEMENT
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Name | MIKE COLE
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Credential |
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Telephone | 727-726-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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