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NPI 1447466909

NPI 1447466909 : LAUREN WILKINSON DDS PA : AVENTURA, FL

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General NPI Number Information
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    NPI Number           |    1447466909
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAUREN WILKINSON DDS PA 
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Dates
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    Enumeration Date     |    05/14/2007
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    Last Update Date     |    08/05/2008
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Provider Practice Location Address
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    Address Line         |    21050 POINT PLACE #1105 
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    City                 |    AVENTURA
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    State                |    FL
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    Zip                  |    33180
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    Country              |    US
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    Telephone            |    305-986-6874
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5015 SHELBOURNE DRIVE 
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    City                 |    CUMMING
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    State                |    GA
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    Zip                  |    30041
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    Country              |    US
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    Telephone            |    770-888-5151
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. LAUREN W SHEFRIN 
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    Credential           |    DDS
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    Telephone            |    305-986-6874
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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       |    
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    License Number State |    
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