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General NPI Number Information
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NPI Number | 1558798124
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Entity Type | Organization
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Legal Business Name | PIKE INTERNATIONAL INVESTMENTS,INC.
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Dates
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Enumeration Date | 09/27/2013
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Last Update Date | 04/28/2017
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Provider Practice Location Address
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Address Line | 1962 MAIN ST SUITE 228
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City | SARASOTA
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State | FL
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Zip | 34236-9515
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Country | US
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Telephone | 941-221-9527
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Fax |
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Provider Business Mailing Address
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Address Line | 1962 MAIN ST SUITE 228
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City | SARASOTA
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State | FL
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Zip | 34236-9515
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Country | US
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Telephone | 941-221-9527
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. M FRIED
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Credential |
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Telephone | 877-353-9825
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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 | DN13882
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License Number State | FL
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