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General NPI Number Information
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NPI Number | 1477873826
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Entity Type | Individual
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Provider Name | MIHRAN ARIS ASINMAZ D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 07/30/2013
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Provider Practice Location Address
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Address Line | 470 COLUMBIA DR SUITE D-101
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1997
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Country | US
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Telephone | 561-640-9200
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Fax | 561-640-9204
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Provider Business Mailing Address
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Address Line | 470 COLUMBIA DR SUITE D-101
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1997
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Country | US
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Telephone | 561-640-9200
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Fax | 561-640-9204
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN18859
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License Number State | FL
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