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General NPI Number Information
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NPI Number | 1396227278
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Entity Type | Organization
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Legal Business Name | HAKUNA MATATA PEDIATRIC DENTISTRY OF NAPLES,PA
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 2544 NORTHBROOKE PLAZA DR STE 4
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City | NAPLES
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State | FL
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Zip | 34119-7960
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Country | US
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Telephone | 754-214-4808
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Fax |
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Provider Business Mailing Address
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Address Line | 2926 S UNIVERSITY DR APT 6204
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City | DAVIE
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State | FL
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Zip | 33328-1407
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Country | US
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Telephone | 754-214-4808
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ALINE MORIN
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Credential | DMD,MS
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Telephone | 754-214-4808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN19444
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License Number State | FL
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