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General NPI Number Information
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NPI Number | 1568201820
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Entity Type | Organization
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Legal Business Name | AMANDA M NUNEZ DMD PA
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 18757 S DIXIE HWY
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City | CUTLER BAY
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State | FL
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Zip | 33157-6806
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Country | US
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Telephone | 305-982-7685
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Fax |
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Provider Business Mailing Address
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Address Line | 5370 SW 97TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-7265
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Country | US
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Telephone | 305-321-2839
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. AMANDA MARIE NUNEZ
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Credential | DMD
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Telephone | 305-982-7685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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