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General NPI Number Information
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NPI Number | 1477904019
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Entity Type | Organization
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Legal Business Name | AMC GENERAL DENTISTRY, INC
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Dates
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Enumeration Date | 06/24/2016
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Last Update Date | 06/24/2016
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Provider Practice Location Address
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Address Line | 10760 W FLAGLER ST STE 10
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City | MIAMI
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State | FL
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Zip | 33174-4404
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Country | US
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Telephone | 305-552-6263
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Fax | 305-553-7125
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Provider Business Mailing Address
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Address Line | 10760 W FLAGLER ST STE 10
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City | MIAMI
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State | FL
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Zip | 33174-4404
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Country | US
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Telephone | 305-552-6263
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Fax | 305-553-7125
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AURORA M CHIRINO
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Credential | DDS
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Telephone | 786-295-6507
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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 | DN19468
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License Number State | FL
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