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General NPI Number Information
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NPI Number | 1639787146
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Entity Type | Individual
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Provider Name | MAYA BARTELS DMD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 2900 N MILITARY TRL STE 175
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City | BOCA RATON
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State | FL
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Zip | 33431-6381
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Country | US
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Telephone | 561-220-3307
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Fax |
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Provider Business Mailing Address
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Address Line | 6764 CALLE DEL PAZ S
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City | BOCA RATON
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State | FL
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Zip | 33433-6438
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DN25249
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License Number State | FL
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