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General NPI Number Information
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NPI Number | 1689844516
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Entity Type | Organization
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Legal Business Name | MARIANI, ROBINSON & LEYTE-VIDAL LLC
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 6280 SUNSET DR SUITE 404
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4827
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Country | US
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Telephone | 305-661-7810
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Fax |
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Provider Business Mailing Address
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Address Line | 6280 SUNSET DR SUITE 404
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4827
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Country | US
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Telephone | 305-661-7810
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARCO A. LEYTE-VIDAL
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Credential | DMD
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Telephone | 305-661-7810
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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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