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General NPI Number Information
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NPI Number | 1407706468
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Entity Type | Organization
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Legal Business Name | RFD1 PLLC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 2122 W CYPRESS CREEK RD STE 201
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1866
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Country | US
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Telephone | 954-451-2290
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Fax |
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Provider Business Mailing Address
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Address Line | 1475 BEACH AVE
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City | ATLANTIC BEACH
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State | FL
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Zip | 32233-5733
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Country | US
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Telephone | 904-472-7277
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY R CORRAL
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Credential | DMD
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Telephone | 904-472-7277
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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 |
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License Number State |
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