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General NPI Number Information
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NPI Number | 1801099643
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Entity Type | Individual
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Provider Name | DARI SUZANNE PARKOFF-SHAPIRO D.D.S
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 2247 PALM BEACH LAKES BLVD STE 104
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3408
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Country | US
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Telephone | 561-684-2282
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Fax | 561-616-2556
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Provider Business Mailing Address
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Address Line | 1920 PALM BEACH LAKES BLVD SUITE 104
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3512
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Country | US
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Telephone | 561-684-2282
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Fax | 561-616-2556
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN15490
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License Number State | FL
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