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General NPI Number Information
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NPI Number | 1609392778
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Entity Type | Individual
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Provider Name | MICHAEL THOMAS GAFFNEY DMD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2017
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Last Update Date | 08/20/2017
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Provider Practice Location Address
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Address Line | 2901 CLINT MOORE RD STE 6
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City | BOCA RATON
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State | FL
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Zip | 33496-2044
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Country | US
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Telephone | 561-997-0061
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Fax |
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Provider Business Mailing Address
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Address Line | 1690 RENAISSANCE COMMONS BLVD APT 1525
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-7208
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Country | US
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Telephone | 561-573-8509
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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 | DN22592
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License Number State | FL
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