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General NPI Number Information
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NPI Number | 1427780683
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Entity Type | Individual
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Provider Name | CRISNEL MORELIA REYES
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Gender | Female
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 9100 S DADELAND BLVD STE 502
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City | MIAMI
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State | FL
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Zip | 33156-7815
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Country | US
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Telephone | 786-890-7252
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Fax |
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Provider Business Mailing Address
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Address Line | 10830 NW 52ND ST
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City | DORAL
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State | FL
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Zip | 33178-3962
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Country | US
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Telephone | 786-285-8781
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN29669
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License Number State | FL
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