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General NPI Number Information
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NPI Number | 1639565765
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Entity Type | Organization
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Legal Business Name | DAVID EUGENE DDS II PLLC
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 04/15/2015
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Provider Practice Location Address
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Address Line | 16811 NE 6TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2405
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Country | US
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Telephone | 954-733-9971
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Fax | 954-733-5521
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Provider Business Mailing Address
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Address Line | 16811 NE 6TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2405
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Country | US
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Telephone | 954-733-9971
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Fax | 954-733-5521
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Authorized Official
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Title or Position | OWNER
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Name | DAVID EUGENE
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Credential | DDS
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Telephone | 954-733-9971
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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 |
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License Number State |
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