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General NPI Number Information
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NPI Number | 1558841890
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Entity Type | Individual
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Provider Name | CATHERINE ANNE LOPEZ GARCIA DMD
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Gender | Female
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 1945 N PINE ISLAND RD
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City | SUNRISE
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State | FL
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Zip | 33322-5203
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Country | US
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Telephone | 954-473-9161
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Fax | 954-473-9160
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Provider Business Mailing Address
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Address Line | 16008 NW 87TH CT
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City | MIAMI LAKES
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State | FL
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Zip | 33018-1427
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Country | US
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Telephone | 305-788-5491
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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 | 23637
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License Number State | FL
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