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General NPI Number Information
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NPI Number | 1497870109
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Entity Type | Individual
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Provider Name | JOSEPH ALAN SHRAGER D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 01/27/2017
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Provider Practice Location Address
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Address Line | 12329 S ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32837-6214
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Country | US
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Telephone | 407-856-2555
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Fax | 407-513-4133
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Provider Business Mailing Address
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Address Line | 2100 N ATLANTIC AVE APT 109
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City | COCOA BEACH
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State | FL
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Zip | 32931-3375
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Country | US
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Telephone | 412-720-9283
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Fax | 407-513-4133
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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 | DN14789
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10514
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License Number State | NC
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