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General NPI Number Information
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NPI Number | 1518365402
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Entity Type | Organization
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Legal Business Name | OMAR PEREZ-MURGUIA,DDS,PA
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Dates
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Enumeration Date | 12/09/2014
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 9835 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3993
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Country | US
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Telephone | 305-552-6446
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Fax | 305-225-2880
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Provider Business Mailing Address
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Address Line | 9835 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3993
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Country | US
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Telephone | 305-552-6446
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Fax | 305-225-2880
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Authorized Official
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Title or Position | DENTIST
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Name | DR. OMAR PEREZ-MURGUIA
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Credential |
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Telephone | 305-552-6446
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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 | DN15727
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License Number State | FL
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