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General NPI Number Information
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NPI Number | 1588831069
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Entity Type | Individual
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Provider Name | DARREN ROBERT PIKE M.S. D.M.D. P.A.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 10/28/2010
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Provider Practice Location Address
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Address Line | 6905 W BROWARD BLVD SUITE 101
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City | PLANTATION
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State | FL
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Zip | 33317-2903
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Country | US
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Telephone | 954-641-0414
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Fax | 954-641-0418
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Provider Business Mailing Address
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Address Line | 835 NW 5TH AVE
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City | BOCA RATON
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State | FL
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Zip | 33432-2511
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Country | US
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Telephone |
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DN18141
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License Number State | FL
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