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General NPI Number Information
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NPI Number | 1609664366
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Entity Type | Organization
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Legal Business Name | RAQUEL TILLINGER DDS PLLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 4300 ALTON RD STE 1190
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2948
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Country | US
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Telephone | 305-532-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 ALTON RD STE 1190
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2948
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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 | OWNER
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Name | RAQUEL TILLINGER
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Credential | DDS
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Telephone | 954-465-5529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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