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General NPI Number Information
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NPI Number | 1699097352
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Entity Type | Organization
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Legal Business Name | AKEL DENTAL
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 5445 COMMERCIAL WAY
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City | SPRING HILL
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State | FL
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Zip | 34606-1110
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Country | US
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Telephone | 352-596-9900
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Fax | 352-596-9954
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Provider Business Mailing Address
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Address Line | 5445 COMMERCIAL WAY
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City | SPRING HILL
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State | FL
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Zip | 34606-1110
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Country | US
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Telephone | 352-596-9900
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Fax | 352-596-9954
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMIR AKEL
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Credential | DMD
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Telephone | 352-596-9900
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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 | DN18305
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN18012
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License Number State | FL
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