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General NPI Number Information
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NPI Number | 1609619071
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Entity Type | Individual
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Provider Name | VICTOR GABRIEL GALVAN DMD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2024
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 10551 6 MILE CYPRESS PKWY
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City | FORT MYERS
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State | FL
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Zip | 33966-6461
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Country | US
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Telephone | 239-342-3488
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1811
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City | ARCADIA
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State | FL
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Zip | 34265-1811
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN29051
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License Number State | FL
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