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General NPI Number Information
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NPI Number | 1669527222
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Entity Type | Individual
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Provider Name | PRISCILLA BURT COE DDS
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3877 TAMIAMI TRL E
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City | NAPLES
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State | FL
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Zip | 34112-6230
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Country | US
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Telephone | 239-774-3545
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Fax | 239-774-1540
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Provider Business Mailing Address
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Address Line | 10503 SEVILLA DR # 201
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City | FORT MYERS
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State | FL
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Zip | 33913-7032
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Country | US
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Telephone | 239-561-5139
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 11576
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5578
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License Number State | NC
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