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General NPI Number Information
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NPI Number | 1750409025
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Entity Type | Individual
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Provider Name | DAVID SYLVAN BISTRITZ D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 18171 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33160-2535
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Country | US
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Telephone | 305-933-2501
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Fax | 305-933-0429
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Provider Business Mailing Address
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Address Line | 18171 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33160-2535
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Country | US
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Telephone | 305-933-2501
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Fax | 305-933-0429
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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 | DN001936
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License Number State | FL
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