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General NPI Number Information
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NPI Number | 1497595904
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Entity Type | Individual
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Provider Name | ANA LUIZA MONROY FRANCISCONI VOLLES DMD
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Gender | Female
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 6346 LANTANA RD STE 68
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City | LAKE WORTH
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State | FL
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Zip | 33463-6664
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Country | US
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Telephone | 561-439-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 41 S UNION AVE APT 1
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City | CRANFORD
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State | NJ
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Zip | 07016-2843
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Country | US
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Telephone | 973-914-2378
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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 | DN28984
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License Number State | FL
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