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General NPI Number Information
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NPI Number | 1548055528
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Entity Type | Organization
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Legal Business Name | LAUREN GONZALEZ DMD PA
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 8560 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33144-4053
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Country | US
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Telephone | 305-262-0509
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Fax |
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Provider Business Mailing Address
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Address Line | 15025 SW 12TH TER
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City | MIAMI
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State | FL
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Zip | 33194-2566
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Country | US
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Telephone | 786-317-6050
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. LAUREN GONZALEZ
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Credential |
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Telephone | 786-317-6050
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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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