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General NPI Number Information
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NPI Number | 1760647473
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Entity Type | Organization
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Legal Business Name | URI ELIAS, P.A.
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 1190 NE 163RD ST SUITE 305
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4521
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Country | US
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Telephone | 305-944-6969
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Fax |
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Provider Business Mailing Address
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Address Line | 333 NW 70TH AVE SUITE 203
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City | PLANTATION
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State | FL
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Zip | 33317-2385
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Country | US
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Telephone | 305-944-6969
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Fax |
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Authorized Official
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Title or Position | PRES.
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Name | DR. URI ELIAS
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Credential | D.D.S.
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Telephone | 305-944-6969
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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 | 8504
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License Number State | FL
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