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General NPI Number Information
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NPI Number | 1790053312
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Entity Type | Organization
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Legal Business Name | STERLING DENTAL
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Dates
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Enumeration Date | 12/09/2011
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 2900 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34239-7117
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Country | US
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Telephone | 941-926-9888
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Fax | 941-926-9801
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Provider Business Mailing Address
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Address Line | 2900 BEE RIDGE ROAD
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City | SARASOTA
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State | FL
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Zip | 34239
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Country | US
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Telephone | 941-926-9888
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Fax | 941-926-9801
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. GARY HORN
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Credential |
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Telephone | 941-926-9888
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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 | DN13472
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License Number State | FL
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