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General NPI Number Information
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NPI Number | 1609809615
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Entity Type | Organization
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Legal Business Name | GERALD A CIOFFI DMD PA
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 767 BLANDING BLVD SUITE 108
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City | ORANGE PARK
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State | FL
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Zip | 32065-8721
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Country | US
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Telephone | 904-272-6244
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Fax | 904-276-0038
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Provider Business Mailing Address
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Address Line | 767 BLANDING BLVD SUITE 108
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City | ORANGE PARK
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State | FL
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Zip | 32065-8721
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Country | US
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Telephone | 904-272-6244
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Fax | 904-276-0038
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Authorized Official
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Title or Position | DENITST/PRESIDENT
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Name | DR. GERALD ALFRED CIOFFI II
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Credential | DMD
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Telephone | 904-272-6244
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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 | DN 11577
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License Number State | FL
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