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General NPI Number Information
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NPI Number | 1669948378
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Entity Type | Organization
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Legal Business Name | ARAV DENTAL, INC
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 11950 COUNTY ROAD 101 STE 104
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City | THE VILLAGES
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State | FL
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Zip | 32162-9333
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Country | US
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Telephone | 321-431-2208
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Fax |
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Provider Business Mailing Address
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Address Line | 11950 COUNTY ROAD 101 STE 104
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City | THE VILLAGES
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State | FL
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Zip | 32162-9333
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Country | US
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Telephone | 352-259-4297
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Fax | 352-259-3705
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | SYLVIA MILLER
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Credential |
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Telephone | 321-431-2208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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