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General NPI Number Information
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NPI Number | 1801286042
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Entity Type | Organization
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Legal Business Name | VERO IMPLANT AND ESTHETIC DENTISTRY
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 01/26/2015
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Provider Practice Location Address
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Address Line | 5070 HIGHWAY A1A SUITE E
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City | VERO BEACH
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State | FL
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Zip | 32963-1400
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Country | US
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Telephone | 772-234-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 5070 HIGHWAY A1A SUITE E
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City | VERO BEACH
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State | FL
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Zip | 32963-1400
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Country | US
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Telephone |
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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. ADAM JONES
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Credential |
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Telephone | 772-234-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN-20089
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License Number State | FL
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