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General NPI Number Information
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NPI Number | 1679621353
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Entity Type | Organization
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Legal Business Name | MAUTNER, DDS AND OPPENHEIMER, DDS, PA
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 2999 NE 191ST ST SUITE 602
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City | AVENTURA
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State | FL
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Zip | 33180-3123
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Country | US
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Telephone | 305-682-1795
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Fax | 305-682-1706
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Provider Business Mailing Address
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Address Line | 2999 NE 191ST ST SUITE 602
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City | AVENTURA
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State | FL
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Zip | 33180-3123
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Country | US
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Telephone | 305-682-1795
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Fax | 305-682-1706
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Authorized Official
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Title or Position | VP
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Name | DR. STEVEN OPPENHEIMER
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Credential | DMD
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Telephone | 305-682-1795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 7383
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License Number State | FL
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