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General NPI Number Information
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NPI Number | 1558524876
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Entity Type | Individual
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Provider Name | DAYRYS TEJEDA D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 13757 SW 152ND ST
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City | MIAMI
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State | FL
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Zip | 33177-8125
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Country | US
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Telephone | 305-250-5390
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 SW 22ND AVE
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City | MIAMI
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State | FL
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Zip | 33133-3101
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Country | US
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Telephone | 305-607-9297
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 052895
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN17706
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License Number State | FL
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