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General NPI Number Information
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NPI Number | 1770059693
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Entity Type | Organization
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Legal Business Name | FACULTY ASSOCIATES, INC
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 10/18/2018
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Provider Practice Location Address
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Address Line | 7505 GRAND LELY DR
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City | NAPLES
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State | FL
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Zip | 34113-1753
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Country | US
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Telephone | 352-273-5801
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Fax | 352-392-3070
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Provider Business Mailing Address
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Address Line | PO BOX 100425
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City | GAINESVILLE
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State | FL
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Zip | 32610-0425
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Country | US
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Telephone | 352-273-5801
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Fax | 352-392-3070
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | JEAN M SWEITZER
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Credential |
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Telephone | 352-273-5787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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