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General NPI Number Information
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NPI Number | 1538408521
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Entity Type | Organization
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Legal Business Name | IQ BUSINESS ENTERPRISE LLC
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Dates
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Enumeration Date | 02/11/2013
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 5551 N UNIVERSITY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4651
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Country | US
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Telephone | 954-323-0377
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Fax | 954-692-3923
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Provider Business Mailing Address
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Address Line | 5551 N UNIVERSITY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4651
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Country | US
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Telephone | 954-323-0377
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Fax | 954-692-3923
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Authorized Official
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Title or Position | MANAGER
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Name | MR. IVAN QUEIJA
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Credential |
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Telephone | 954-323-0377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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