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General NPI Number Information
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NPI Number | 1487338786
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Entity Type | Individual
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Provider Name | MARIA TERESA GUTIERREZ DMD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 5380 DONALD ROSS RD STE 100
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-7282
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Country | US
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Telephone | 561-323-7117
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Fax |
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Provider Business Mailing Address
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Address Line | 6214 SW 150TH PATH
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City | MIAMI
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State | FL
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Zip | 33193-2741
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Country | US
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Telephone | 786-372-3726
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN27985
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License Number State | FL
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