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General NPI Number Information
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NPI Number | 1558101477
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Entity Type | Organization
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Legal Business Name | DENTAL CARE PC PLLC
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 7451 DR M.L.K. JR ST N UNIT C
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2160
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Country | US
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Telephone | 727-322-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 2663 1ST AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33713-8703
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | REMAL PATEL
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Credential |
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Telephone | 813-340-3510
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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 |
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License Number State |
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