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General NPI Number Information
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NPI Number | 1396186011
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Entity Type | Individual
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Provider Name | WILKA GARCIA-NUNEZ D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 05/17/2020
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Provider Practice Location Address
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Address Line | 11400 N KENDALL DR STE 205
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City | MIAMI
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State | FL
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Zip | 33176-1029
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Country | US
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Telephone | 954-288-9136
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Fax |
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Provider Business Mailing Address
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Address Line | 1166 NE 161ST TER
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City | N MIAMI BEACH
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State | FL
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Zip | 33162-4512
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Country | US
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Telephone |
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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 | 9714
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN24511
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License Number State | FL
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