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General NPI Number Information
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NPI Number | 1487327771
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Entity Type | Individual
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Provider Name | OLGA LUCIA PEREZ ESTRADA
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Gender | Female
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Dates
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Enumeration Date | 08/01/2021
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Last Update Date | 08/01/2021
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Provider Practice Location Address
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Address Line | 1220 NE 36TH AVE
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City | OCALA
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State | FL
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Zip | 34470-4931
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Country | US
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Telephone | 352-732-4847
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 SE LAKE WEIR AVE APT 1010
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City | OCALA
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State | FL
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Zip | 34471-6731
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Country | US
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Telephone | 952-688-9896
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Fax |
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 27974
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License Number State | FL
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