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General NPI Number Information
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NPI Number | 1447094107
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Entity Type | Individual
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Provider Name | LAZARO ESTEBAN SANTANA BUBAIRE DDS
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Gender | Male
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Dates
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Enumeration Date | 06/19/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 2431 ESTANCIA BLVD STE E
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City | CLEARWATER
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State | FL
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Zip | 33761-2608
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Country | US
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Telephone | 727-796-2181
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Fax | 727-796-2182
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Provider Business Mailing Address
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Address Line | 2765 VIA CIPRIANI UNIT 1222A
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City | CLEARWATER
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State | FL
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Zip | 33764-3944
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Country | US
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Telephone | 786-380-5384
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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 | DN29101
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License Number State | FL
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