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General NPI Number Information
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NPI Number | 1497024277
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Entity Type | Organization
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Legal Business Name | SILAMEN DENTAL GROUP INC
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 4800 NW 7TH AVE
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City | MIAMI
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State | FL
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Zip | 33127-2304
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Country | US
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Telephone | 305-756-3393
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Fax | 786-313-3142
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Provider Business Mailing Address
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Address Line | 4800 NW 7TH AVE
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City | MIAMI
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State | FL
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Zip | 33127-2304
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Country | US
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Telephone | 305-756-3393
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Fax | 786-313-3142
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SILVIA MENENDEZ
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Credential |
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Telephone | 305-756-3393
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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 | DN12108
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License Number State | FL
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