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General NPI Number Information
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NPI Number | 1487603635
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Entity Type | Individual
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Provider Name | ALFREDO E TENDLER DMD, MS
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Gender | Male
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 17901 NW 5TH ST STE 101
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2810
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Country | US
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Telephone | 954-437-2222
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Fax | 954-437-2244
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Provider Business Mailing Address
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Address Line | 17901NW5TH ST 101
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2810
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Country | US
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Telephone | 954-437-2222
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Fax | 954-437-2244
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN-16858
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License Number State | FL
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