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General NPI Number Information
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NPI Number | 1407335409
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Entity Type | Individual
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Provider Name | EMILY C ANDRADE DMD
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Gender | Female
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 6063 SW 18TH ST
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City | BOCA RATON
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State | FL
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Zip | 33433-7118
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Country | US
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Telephone | 561-349-4972
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Fax |
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Provider Business Mailing Address
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Address Line | 2596 CARAMBOLA CIR N
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2422
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Country | US
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Telephone | 954-993-8325
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN23633
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License Number State | FL
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