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General NPI Number Information
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NPI Number | 1760781892
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Entity Type | Organization
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Legal Business Name | ONE SMILE, P.L.L.C.
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 1225 N MILITARY TRL SUITE 6
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6059
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Country | US
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Telephone | 561-721-9992
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Fax | 561-686-8948
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Provider Business Mailing Address
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Address Line | 1225 N MILITARY TRL SUITE 6
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6059
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Country | US
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Telephone | 561-721-9992
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Fax | 561-686-8948
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Authorized Official
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Title or Position | MEMBER
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Name | MIHRAN ASINMAZ
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Credential |
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Telephone | 561-721-9992
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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 | DN18859
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License Number State | FL
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