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General NPI Number Information
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NPI Number | 1689987026
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Entity Type | Organization
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Legal Business Name | AMERICAN DENTAL OF FLORIDA-MARGATE
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 10/12/2010
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Provider Practice Location Address
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Address Line | 1509 N STATE ROAD 7 SUITE H
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City | MARGATE
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State | FL
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Zip | 33063-5731
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Country | US
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Telephone | 954-974-8550
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Fax | 954-974-1419
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Provider Business Mailing Address
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Address Line | 1509 N STATE ROAD 7 SUITE H
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City | MARGATE
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State | FL
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Zip | 33063-5731
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Country | US
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Telephone | 954-974-8550
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Fax | 954-974-1419
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Authorized Official
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Title or Position | OWNER/ DOCTOR
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Name | DR. JAMES M KERNS JR.
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Credential | DMD
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Telephone | 954-974-8550
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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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