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General NPI Number Information
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NPI Number | 1770781569
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Entity Type | Individual
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Provider Name | MICHAEL PEREZ D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 299 ALHAMBRA CIRCLE, SUITE #208
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-442-9499
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Fax | 305-456-2551
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Provider Business Mailing Address
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Address Line | 299 ALHAMBRA CIRCLE, SUITE #208
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City | CORAL GABLES
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-442-9499
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Fax | 305-456-2551
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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 | DN13149
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License Number State | FL
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