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General NPI Number Information
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NPI Number | 1346467339
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Entity Type | Individual
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Provider Name | DORIS CRUZ DH
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1100 US HIGHWAY 27, SUITE D
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City | CLERMONT
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State | FL
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Zip | 34714
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Country | US
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Telephone | 352-243-1441
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Fax |
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Provider Business Mailing Address
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Address Line | 13220 OLESEN CT
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City | CLERMONT
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State | FL
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Zip | 34711
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Country | US
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Telephone | 352-241-0082
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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 | DN12977
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH15487
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License Number State | FL
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