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General NPI Number Information
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NPI Number | 1669939922
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Entity Type | Organization
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Legal Business Name | A2Z DENTAL CARE, LLC
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 2515 NORTHBROOKE PLAZA DR STE 100
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City | NAPLES
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State | FL
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Zip | 34119-8088
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Country | US
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Telephone | 239-593-6489
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Fax |
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Provider Business Mailing Address
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Address Line | 2515 NORTHBROOKE PLAZA DR STE 100
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City | NAPLES
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State | FL
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Zip | 34119-8088
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Country | US
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Telephone | 239-593-6489
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SVETLANA TALALENKO
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Credential | DMD
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Telephone | 239-206-7528
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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 |
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License Number State |
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