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General NPI Number Information
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NPI Number | 1629824362
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Entity Type | Organization
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Legal Business Name | CAPRILES DENTAL LLC
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Dates
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Enumeration Date | 04/24/2024
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 2300 S CONGRESS AVE STE 110
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-7400
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Country | US
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Telephone | 561-560-8787
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Fax |
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Provider Business Mailing Address
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Address Line | 480 HIBISCUS ST # 827
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-5866
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Country | US
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Telephone | 804-617-1557
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MANUEL CAPRILES
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Credential | DDS
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Telephone | 804-617-1557
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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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