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General NPI Number Information
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NPI Number | 1508235276
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Entity Type | Individual
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Provider Name | VICTOR J. DONGO D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/23/2015
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Last Update Date | 09/23/2015
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Provider Practice Location Address
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Address Line | 3307 W 80TH ST
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City | HIALEAH
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State | FL
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Zip | 33018-5000
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Country | US
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Telephone | 305-512-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 3307 W 80TH ST
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City | HIALEAH
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State | FL
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Zip | 33018-5000
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Country | US
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Telephone | 305-512-3700
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN14564
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License Number State | FL
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