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General NPI Number Information
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NPI Number | 1326715897
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Entity Type | Organization
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Legal Business Name | CENTER OF DENTISTRY AND ORAL HEALTH, PA
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 9000 SW 152ND ST STE 208
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1942
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Country | US
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Telephone | 786-227-3802
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 SW 152ND ST STE 208
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1942
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Country | US
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Telephone | 786-227-3802
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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. OSCAR LEONARDO NARANJO
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Credential | DMD
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Telephone | 786-227-3802
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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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