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General NPI Number Information
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NPI Number | 1619362209
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Entity Type | Organization
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Legal Business Name | PATRICIA GONZALEZ TEMPLETON D.D.S, LLC
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 2249 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3611
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Country | US
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Telephone | 954-983-1680
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Fax | 954-983-1181
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Provider Business Mailing Address
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Address Line | 2249 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3611
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Country | US
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Telephone | 954-983-1680
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Fax | 954-983-1181
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | MRS. PATRICIA GONZALEZ TEMPLETON
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Credential |
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Telephone | 954-983-1680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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