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General NPI Number Information
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NPI Number | 1528287802
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Entity Type | Organization
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Legal Business Name | ENRIQUE ROVIRA D.M.D.
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5110 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32812-8773
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Country | US
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Telephone | 407-282-6380
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Fax |
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Provider Business Mailing Address
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Address Line | 5110 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32812-8773
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Country | US
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Telephone | 407-282-6380
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ENRIQUE ROVIRA
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Credential |
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Telephone | 407-282-6380
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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 | DN8973
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License Number State | FL
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