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General NPI Number Information
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NPI Number | 1609556398
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Entity Type | Organization
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Legal Business Name | HEMITA KLOSE DMD PLLC
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 6100 TRAIL BLVD STE 206
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City | NAPLES
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State | FL
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Zip | 34108-2834
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Country | US
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Telephone | 239-262-1404
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Fax |
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Provider Business Mailing Address
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Address Line | 5185 CASTELLO DR STE 1
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City | NAPLES
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State | FL
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Zip | 34103-8903
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Country | US
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Telephone | 239-262-1404
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HEMITA PATEL KLOSE
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Credential | DMD
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Telephone | 407-353-3588
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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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