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General NPI Number Information
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NPI Number | 1407713555
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Entity Type | Organization
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Legal Business Name | DEF CLEARWATER PLLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 2045 GULF TO BAY BLVD
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City | CLEARWATER
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State | FL
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Zip | 33765-3752
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Country | US
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Telephone | 727-477-2890
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Fax | 727-477-2891
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Provider Business Mailing Address
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Address Line | 2045 GULF TO BAY BLVD
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City | CLEARWATER
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State | FL
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Zip | 33765-3752
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Country | US
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Telephone | 727-477-2890
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Fax | 727-477-2891
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | EMTEYAZ ASKER
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Credential |
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Telephone | 813-458-0257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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