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General NPI Number Information
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NPI Number | 1427534239
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Entity Type | Individual
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Provider Name | ERICK YGLESIAS RUIZ DDS
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Gender | Male
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Dates
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Enumeration Date | 07/15/2018
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | 2715 W BAY DR
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City | BELLEAIR BLUFFS
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State | FL
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Zip | 33770
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Country | US
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Telephone | 727-683-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 8020 SW 152ND AVE APT 302
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City | MIAMI
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State | FL
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Zip | 33193-1324
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Country | US
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Telephone | 786-246-7769
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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 | DN23694
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License Number State | FL
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