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General NPI Number Information
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NPI Number | 1518370071
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Entity Type | Organization
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Legal Business Name | JAVIER M ZAWADZKY D.M.D, PA
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 123 N POWERLINE RD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8037
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Country | US
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Telephone | 954-429-8840
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Fax | 954-429-8842
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Provider Business Mailing Address
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Address Line | 1171 NW 106TH AVE
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City | PLANTATION
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State | FL
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Zip | 33322-7817
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Country | US
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Telephone | 954-600-6839
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Fax | 954-429-8842
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | MR. JAVIER MAURICIO ZAWADZKY
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Credential | D.M.D
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Telephone | 954-600-6839
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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 | DN19098
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License Number State | FL
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