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General NPI Number Information
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NPI Number | 1689837999
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Entity Type | Organization
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Legal Business Name | DENTALAND PA
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 801 N CONGRESS AVE BOYNTON BEACH MALL
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-3315
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Country | US
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Telephone | 561-732-6900
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Fax | 561-732-6255
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Provider Business Mailing Address
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Address Line | 3230 W COMMERCIAL BLVD SUITE 190
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3429
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Country | US
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Telephone | 954-719-4420
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Fax | 954-678-9539
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY FEINGOLD
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Credential | DDS
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Telephone | 954-719-4420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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