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General NPI Number Information
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NPI Number | 1568191609
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Entity Type | Organization
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Legal Business Name | ALPHADENTALDESIGN
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 2332 SW 82ND CT
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City | MIAMI
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State | FL
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Zip | 33155-1247
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Country | US
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Telephone | 305-262-8807
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Fax | 305-960-7403
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Provider Business Mailing Address
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Address Line | 2332 SW 82ND CT
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City | MIAMI
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State | FL
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Zip | 33155-1247
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Country | US
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Telephone | 305-262-8807
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Fax | 305-960-7403
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Authorized Official
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Title or Position | DOCTORA
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Name | PATRICIA MARIA BOBADILLA
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Credential |
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Telephone | 305-267-8807
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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 |
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License Number State |
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