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General NPI Number Information
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NPI Number | 1427371525
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Entity Type | Individual
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Provider Name | ANDREA LEE DIAMOND DMD
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Gender | Female
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 7800 SW 87 AVE A115
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-274-7474
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Fax | 305-274-2991
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Provider Business Mailing Address
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Address Line | 7800 SW 87TH AVE A115
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City | MIAMI
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State | FL
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Zip | 33173-3570
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Country | US
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Telephone | 305-274-7474
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Fax | 305-274-2991
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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 | DN9192
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License Number State | FL
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