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General NPI Number Information
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NPI Number | 1518644376
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Entity Type | Individual
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Provider Name | PATRICIA MICHELLE CANTENS DMD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 805 N HOMESTEAD BLVD
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City | HOMESTEAD
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State | FL
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Zip | 33030-5024
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Country | US
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Telephone | 786-410-6656
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Fax | 786-871-7311
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Provider Business Mailing Address
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Address Line | 14421 SW 94TH AVE
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City | MIAMI
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State | FL
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Zip | 33176-7801
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Country | US
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Telephone | 305-951-9966
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN27964
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License Number State | FL
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