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General NPI Number Information
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NPI Number | 1639618044
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Entity Type | Organization
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Legal Business Name | CALM CARE DENTAL ASSOCIATES, INC
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 12531 SOUTH DIXIE HIGHWAY
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City | PINECREST
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State | FL
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Zip | 33156
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Country | US
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Telephone | 786-842-3132
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Fax | 786-870-4283
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Provider Business Mailing Address
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Address Line | 12531 SOUTH DIXIE HIGHWAY
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City | PINECREST
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State | FL
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Zip | 33156
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Country | US
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Telephone | 786-842-3132
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Fax | 786-870-4283
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL W. BAILEY
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Credential |
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Telephone | 786-842-3132
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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 | DN14973
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License Number State | FL
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