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General NPI Number Information
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NPI Number | 1518708072
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Entity Type | Individual
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Provider Name | MANOUCHKA FLEURINORD DDS
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Gender | Female
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 4718 ASHFORD DUNWOODY RD
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City | ATLANTA
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State | GA
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Zip | 30338-5576
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Country | US
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Telephone | 770-625-1968
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Fax |
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Provider Business Mailing Address
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Address Line | 1777 PEACHTREE ST NE UNIT 713
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City | ATLANTA
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State | GA
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Zip | 30309-2380
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Country | US
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Telephone | 786-509-3882
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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 | DN29034
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN2000414
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN123453
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License Number State | GA
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