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General NPI Number Information
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NPI Number | 1730533241
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Entity Type | Organization
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Legal Business Name | GABRIELA A. BOZZUTI, D.D.S., P.A.
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 2751 EXECUTIVE PARK DR SUITE 204
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City | WESTON
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State | FL
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Zip | 33331-3660
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Country | US
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Telephone | 954-706-6440
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 BANYAN WAY
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City | WESTON
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State | FL
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Zip | 33327-1622
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Country | US
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Telephone | 954-706-6440
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GABRIELA A. BOZZUTI
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Credential | D.D.S.
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Telephone | 954-706-6440
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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 | 18805
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License Number State | FL
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