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General NPI Number Information
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NPI Number | 1548958242
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Entity Type | Individual
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Provider Name | PATRICIA NAEMI REYNOSO GALVA DDS
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Gender | Female
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 551 LINTON BLVD STE C2
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City | DELRAY BEACH
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State | FL
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Zip | 33444-8141
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Country | US
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Telephone | 561-529-9152
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Fax |
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Provider Business Mailing Address
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Address Line | 501 NW 7TH AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33311-9156
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Country | US
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Telephone | 929-385-7156
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN30981
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License Number State | FL
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