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General NPI Number Information
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NPI Number | 1710549324
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Entity Type | Organization
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Legal Business Name | GNF DENTAL GROUP, P.A.
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 2300 DEER CREEK COMMERCE LN STE 500
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City | DAVENPORT
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State | FL
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Zip | 33837-6848
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Country | US
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Telephone | 863-420-4130
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 DEER CREEK COMMERCE LN STE 500
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City | DAVENPORT
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State | FL
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Zip | 33837-6848
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Country | US
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Telephone | 863-420-4130
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. NOLVERIS FROMETA
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Credential | DDS
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Telephone | 321-354-5221
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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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