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General NPI Number Information
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NPI Number | 1548878309
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Entity Type | Organization
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Legal Business Name | ATTUNE DENTISTRY PA
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Dates
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Enumeration Date | 07/17/2020
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 4750 N FEDERAL HWY
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-6553
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Country | US
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Telephone | 561-702-0039
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Fax | 561-931-3994
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Provider Business Mailing Address
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Address Line | 4750 N FEDERAL HWY STE 16
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-6553
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Country | US
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Telephone | 561-702-0039
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Fax | 561-931-3994
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Authorized Official
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Title or Position | DENTIST
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Name | ANDREA C DIAZ VASQUEZ
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Credential | DMD
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Telephone | 719-930-3776
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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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