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General NPI Number Information
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NPI Number | 1770807703
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Entity Type | Organization
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Legal Business Name | FLORIDA DENTAL & DENTURE CTR. 11
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Dates
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Enumeration Date | 03/19/2010
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Last Update Date | 03/19/2010
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Provider Practice Location Address
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Address Line | 2596 FOREST HILL BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5929
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Country | US
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Telephone | 561-433-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 2596 FOREST HILL BLVD.
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City | WEST PALM BEACH
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State | FL
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Zip | 33406
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Country | US
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Telephone | 561-433-1818
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. YVES SEMEAH
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Credential | D.D.S.
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Telephone | 561-433-1818
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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 | FL
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