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General NPI Number Information
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NPI Number | 1760875595
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Entity Type | Organization
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Legal Business Name | MIAMI OAKS DENTAL
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 3850 SW 87TH AVE STE 101 SUITE 101
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City | MIAMI
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State | FL
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Zip | 33165-5472
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Country | US
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Telephone | 305-226-8236
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Fax | 305-226-8238
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Provider Business Mailing Address
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Address Line | 3850 SW 87TH AVE STE 101 SUITE 101
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City | MIAMI
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State | FL
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Zip | 33165-5472
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Country | US
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Telephone | 305-226-8236
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Fax | 305-226-8238
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RANDY L FURSHMAN
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Credential | D.D.S.
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Telephone | 305-226-8236
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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 |
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License Number State |
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