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General NPI Number Information
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NPI Number | 1548046618
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Entity Type | Organization
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Legal Business Name | HANDS ON DENTAL LLC
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 2633 E COMMERCIAL BLVD STE B
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4135
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Country | US
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Telephone | 646-209-9996
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Fax |
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Provider Business Mailing Address
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Address Line | 8164 THAMES BLVD APT D
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City | BOCA RATON
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State | FL
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Zip | 33433-8523
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Country | US
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Telephone | 646-209-9996
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REINALDO VELEZ
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Credential |
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Telephone | 646-209-9996
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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