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General NPI Number Information
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NPI Number | 1730998972
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Entity Type | Organization
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Legal Business Name | CARING DENTAL SERVICES POMPANO LLC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 2631 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33062-4939
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Country | US
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Telephone | 954-942-4048
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Fax | 954-788-5264
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Provider Business Mailing Address
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Address Line | 2631 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33062-4939
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Country | US
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Telephone | 954-942-4048
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Fax | 954-788-5264
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. ROGER J PHANORD
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Credential | DMD
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Telephone | 954-942-4048
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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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