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General NPI Number Information
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NPI Number | 1508907361
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Entity Type | Organization
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Legal Business Name | GENTLE DENTAL CARE
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 9316 US HIGHWAY 19
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City | PORT RICHEY
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State | FL
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Zip | 34668-4772
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Country | US
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Telephone | 727-849-6838
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Fax | 727-842-7081
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Provider Business Mailing Address
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Address Line | 9316 US HIGHWAY 19
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City | PORT RICHEY
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State | FL
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Zip | 34668-4772
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Country | US
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Telephone | 727-849-6838
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Fax | 727-842-7081
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Authorized Official
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Title or Position | DENTIST
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Name | DR. CHAIM HYMAN
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Credential | DMD
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Telephone | 727-849-6838
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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 | DN16366
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN16925
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License Number State | FL
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