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General NPI Number Information
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NPI Number | 1528277027
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Entity Type | Organization
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Legal Business Name | MARC A. MINCH DMD PA
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2620 S SEACREST BLVD SUITE C
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7534
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Country | US
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Telephone | 561-732-1777
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Fax | 561-732-3563
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Provider Business Mailing Address
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Address Line | 2620 S SEACREST BLVD SUITE C
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7534
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Country | US
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Telephone | 561-732-1777
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Fax | 561-732-3563
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARC A. MINCH
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Credential | DMD
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Telephone | 561-732-1777
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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 | DN16027
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License Number State | FL
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