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General NPI Number Information
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NPI Number | 1609227057
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Entity Type | Individual
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Provider Name | SANDRINE RIBOUL DMD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 01/23/2018
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Provider Practice Location Address
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Address Line | 16200 NE 13TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4608
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Country | US
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Telephone | 305-760-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 31 SE 5TH ST APT 2809
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City | MIAMI
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State | FL
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Zip | 33131-2519
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Country | US
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Telephone | 786-878-2797
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN23021
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License Number State | FL
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