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General NPI Number Information
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NPI Number | 1629861307
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Entity Type | Organization
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Legal Business Name | ELI ABBO DMD PA
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 3031 NE 163RD ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-4462
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Country | US
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Telephone | 305-945-0909
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Fax | 305-945-0907
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Provider Business Mailing Address
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Address Line | 3031 NE 163RD ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-4462
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Country | US
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Telephone | 305-945-0909
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Fax | 305-945-0907
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MICHELLE GUTIERREZ
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Credential |
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Telephone | 305-945-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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