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General NPI Number Information
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NPI Number | 1467815951
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Entity Type | Organization
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Legal Business Name | JRPC DENTAL CARE INC
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 5330 S JOHN YOUNG PKWY
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City | ORLANDO
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State | FL
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Zip | 32839-7363
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Country | US
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Telephone | 407-601-7476
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Fax |
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Provider Business Mailing Address
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Address Line | 5330 S JOHN YOUNG PKWY
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City | ORLANDO
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State | FL
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Zip | 32839-7363
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Country | US
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Telephone | 407-601-7476
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JEAN RENE PIERRE-CHARLES
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Credential |
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Telephone | 407-272-5105
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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 | DN19825
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License Number State | FL
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