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General NPI Number Information
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NPI Number | 1811193972
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Entity Type | Individual
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Provider Name | IBELYS SUBIRATS-TORRES DMD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 03/19/2010
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Provider Practice Location Address
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Address Line | 16940 SW 94TH CT
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City | PALMETTO BAY
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State | FL
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Zip | 33157-4429
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Country | US
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Telephone | 305-255-4140
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Fax |
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Provider Business Mailing Address
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Address Line | 13220 SW 58TH TER 16-2
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City | MIAMI
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State | FL
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Zip | 33183-1257
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Country | US
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Telephone | 786-512-8066
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Fax |
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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 | DN 17940
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License Number State | FL
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