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General NPI Number Information
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NPI Number | 1326632613
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Entity Type | Organization
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Legal Business Name | ALLURE DENTAL OF HOLLYWOOD PLLC
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Dates
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Enumeration Date | 02/26/2021
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 8580 STIRLING RD STE 101
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City | HOLLYWOOD
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State | FL
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Zip | 33024-8206
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Country | US
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Telephone | 954-500-0102
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Fax | 954-500-0101
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Provider Business Mailing Address
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Address Line | 8580 STIRLING RD STE 101
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City | HOLLYWOOD
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State | FL
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Zip | 33024-8206
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Country | US
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Telephone | 954-500-0102
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Fax | 954-500-0101
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Authorized Official
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Title or Position | OWNER
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Name | VADIM VALDMAN
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Credential | DDS
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Telephone | 212-810-6226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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