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General NPI Number Information
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NPI Number | 1386273381
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Entity Type | Individual
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Provider Name | ZOANY DE LA ROSA DDS
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Gender | Female
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 7031 SW 62ND AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4701
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Country | US
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Telephone | 305-284-7761
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Fax | 305-284-7787
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Provider Business Mailing Address
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Address Line | 3955 NW 3RD ST
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City | MIAMI
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State | FL
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Zip | 33126-5723
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Country | US
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Telephone | 305-496-9256
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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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 | DN27342
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License Number State | FL
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