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General NPI Number Information
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NPI Number | 1326736638
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Entity Type | Individual
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Provider Name | CESAR A CAROZZO DDS
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Gender | Male
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 07/08/2023
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Provider Practice Location Address
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Address Line | 750 E 25TH ST
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City | HIALEAH
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State | FL
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Zip | 33013-3817
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Country | US
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Telephone | 305-694-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 10751 NW 81ST LN
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City | MIAMI
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State | FL
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Zip | 33178-6049
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Country | US
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Telephone | 786-608-8433
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2574
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DRPM2574
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License Number State | FL
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