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General NPI Number Information
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NPI Number | 1740646884
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Entity Type | Organization
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Legal Business Name | DILEY PEREZ DMD PA
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 01/05/2016
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Provider Practice Location Address
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Address Line | 2915 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33125-4305
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Country | US
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Telephone | 305-846-9082
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Fax | 305-846-9092
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Provider Business Mailing Address
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Address Line | 2915 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33125-4305
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Country | US
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Telephone | 305-846-9082
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Fax | 305-846-9092
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DILEY PEREZ
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Credential | DMD
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Telephone | 305-846-9082
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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 | DN19487
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License Number State | FL
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