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General NPI Number Information
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NPI Number | 1588685739
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Entity Type | Organization
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Legal Business Name | ALLEN N. HAIMES D.D.S.,P.A.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 10710 SEMINOLE BLVD SUITE#3
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City | SEMINOLE
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State | FL
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Zip | 33778-3316
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Country | US
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Telephone | 727-392-2296
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Fax | 727-397-9463
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Provider Business Mailing Address
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Address Line | 10710 SEMINOLE BLVD SUITE#3
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City | SEMINOLE
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State | FL
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Zip | 33778-3316
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Country | US
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Telephone | 727-392-2296
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Fax | 727-397-9463
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLEN N. HAIMES
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Credential | D.D.S.
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Telephone | 727-392-2296
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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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