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General NPI Number Information
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NPI Number | 1689071185
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Entity Type | Individual
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Provider Name | ROLANDO LUMAIN CATRAL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/26/2014
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 13925 LANDSTAR BLVD STE 110
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City | ORLANDO
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State | FL
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Zip | 32824-5531
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Country | US
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Telephone | 407-270-0054
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Fax |
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Provider Business Mailing Address
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Address Line | 4120 EVANDER DR
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City | ORLANDO
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State | FL
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Zip | 32812-8141
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Country | US
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Telephone | 352-598-6949
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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 | DN21637
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License Number State | FL
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