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General NPI Number Information
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NPI Number | 1548075435
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Entity Type | Individual
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Provider Name | WLADIMIR PADRON DMD
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Gender | Male
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 13876 SW 88TH ST
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City | MIAMI
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State | FL
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Zip | 33186-1304
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Country | US
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Telephone | 551-427-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 9923 S HOLLYBROOK LAKE DR APT 208
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-1651
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Country | US
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Telephone | 551-427-9355
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 31063
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License Number State | FL
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