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General NPI Number Information
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NPI Number | 1699149799
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Entity Type | Organization
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Legal Business Name | PETER M SCERBO, DMD, PA2
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 11/30/2015
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Provider Practice Location Address
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Address Line | 2211 NE 36TH ST STE 201
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-7500
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Country | US
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Telephone | 954-943-2466
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Fax | 954-941-0551
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Provider Business Mailing Address
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Address Line | 19390 COLLINS AVE APT 201A
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-2229
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Country | US
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Telephone | 954-943-2466
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Fax | 954-941-0551
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER M SCERBO
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Credential | DMD
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Telephone | 973-886-4614
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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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