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General NPI Number Information
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NPI Number | 1578122172
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Entity Type | Organization
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Legal Business Name | VLADIMIR A. AVRIL, PLLC
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 3413 S KINGS AVE STE 200
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City | BRANDON
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State | FL
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Zip | 33511-7780
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Country | US
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Telephone | 813-643-9029
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 E KENNEDY BLVD UNIT 538
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City | TAMPA
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State | FL
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Zip | 33602-3783
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Country | US
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Telephone | 305-206-3718
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. VLADIMIR AMOS AVRIL
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Credential | DDS
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Telephone | 305-206-3718
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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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