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General NPI Number Information
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NPI Number | 1558988238
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Entity Type | Individual
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Provider Name | JHEINY GARCIA GONZALEZ DMD
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Gender | Female
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 16280 NW 45TH AVE
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City | OPA LOCKA
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State | FL
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Zip | 33054-6049
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Country | US
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Telephone | 786-424-8374
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Fax |
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Provider Business Mailing Address
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Address Line | 16280 NW 45TH AVE
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City | OPA LOCKA
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State | FL
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Zip | 33054-6049
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Country | US
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Telephone | 786-424-8374
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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 | DN25007
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License Number State | FL
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