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General NPI Number Information
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NPI Number | 1588855738
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Entity Type | Individual
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Provider Name | FRANCISCO E JIMENEZ DDS
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 12798 W FOREST HILL BLVD SUITE 305
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 561-793-7515
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Fax | 561-793-5049
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Provider Business Mailing Address
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Address Line | 12798 W FOREST HILL BLVD SUITE 305
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 561-793-7515
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Fax | 561-793-5049
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN0013881
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License Number State | FL
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