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General NPI Number Information
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NPI Number | 1467963843
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Entity Type | Organization
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Legal Business Name | RICHARD A ASSING DDS PA
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Dates
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Enumeration Date | 10/12/2017
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Last Update Date | 10/12/2017
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Provider Practice Location Address
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Address Line | 719 W ROBERTSON ST
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City | BRANDON
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State | FL
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Zip | 33511-4921
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Country | US
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Telephone | 813-685-6139
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Fax | 813-685-3579
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Provider Business Mailing Address
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Address Line | 719 W ROBERTSON ST
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City | BRANDON
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State | FL
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Zip | 33511-4921
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Country | US
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Telephone | 813-685-6139
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Fax | 813-685-3579
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD ASSING
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Credential | DDS
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Telephone | 813-685-6139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | FL10434
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License Number State | FL
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