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General NPI Number Information
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NPI Number | 1689239311
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Entity Type | Organization
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Legal Business Name | DENTAL GROUP OF SOUTH FLORIDA II
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 11336 SW 184TH ST
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City | MIAMI
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State | FL
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Zip | 33157-6553
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Country | US
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Telephone | 305-251-4262
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Fax | 786-242-6351
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Provider Business Mailing Address
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Address Line | 11336 SW 184TH ST
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City | MIAMI
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State | FL
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Zip | 33157-6553
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Country | US
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Telephone | 305-251-4262
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Fax | 786-242-6351
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA ALVAREZ
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Credential | DDS
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Telephone | 305-251-4262
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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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