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General NPI Number Information
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NPI Number | 1699282822
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Entity Type | Individual
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Provider Name | DAVID MICHAEL GARAZI DMD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 20484 W DIXIE HWY
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City | MIAMI
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State | FL
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Zip | 33180-1128
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Country | US
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Telephone | 305-931-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 19910 NE 22ND AVE
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City | MIAMI
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State | FL
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Zip | 33180-1845
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 21731
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 21731
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License Number State | FL
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