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General NPI Number Information
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NPI Number | 1639423080
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Entity Type | Organization
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Legal Business Name | DENTIST ON CALL, LLC
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 7932 W SAND LAKE RD SUITE #301
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City | ORLANDO
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State | FL
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Zip | 32819-7263
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Country | US
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Telephone | 407-403-0260
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Fax |
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Provider Business Mailing Address
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Address Line | 7932 W SAND LAKE RD SUITE #301
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City | ORLANDO
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State | FL
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Zip | 32819-7263
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Country | US
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Telephone | 407-403-0260
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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. ZIYAD MAALI
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Credential | D.M.D.
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Telephone | 407-403-0260
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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 | DN16019
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License Number State | FL
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