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General NPI Number Information
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NPI Number | 1548840853
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Entity Type | Individual
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Provider Name | MARIA CONCEPCION MENDOZA CAVERO DDS
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Gender | Female
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Dates
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Enumeration Date | 04/11/2021
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 7911 NW 72ND AVE
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City | MEDLEY
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State | FL
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Zip | 33166-2227
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Country | US
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Telephone | 786-883-2383
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Fax |
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Provider Business Mailing Address
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Address Line | 4810 NW 116TH AVE
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City | DORAL
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State | FL
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Zip | 33178-4839
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Country | US
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Telephone | 786-294-2462
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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 | 28408
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License Number State | FL
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