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General NPI Number Information
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NPI Number | 1689347916
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Entity Type | Individual
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Provider Name | MADELAINE FAJARDO BECHARA
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Gender | Female
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 4830 SW 8TH ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-2523
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Country | US
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Telephone | 786-800-7790
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Fax |
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Provider Business Mailing Address
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Address Line | 3695 NW 1ST ST
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City | MIAMI
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State | FL
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Zip | 33125-4839
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Country | US
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Telephone |
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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 | DN28642
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License Number State | FL
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