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General NPI Number Information
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NPI Number | 1619169083
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Entity Type | Individual
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Provider Name | REBECA-ANN WEINSTOCK DDS
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Gender | Female
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 02/19/2015
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Provider Practice Location Address
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Address Line | 664 PALM SPRINGS DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7847
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Country | US
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Telephone | 407-834-6446
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Fax | 407-830-4978
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Provider Business Mailing Address
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Address Line | 664 PALM SPRINGS DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7847
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Country | US
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Telephone | 407-834-6446
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Fax | 407-830-4978
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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 | DN18105
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License Number State | FL
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