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General NPI Number Information
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NPI Number | 1821118795
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Entity Type | Individual
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Provider Name | JEFFREY F. ELLIOT DMD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1401 N UNIVERSITY DR STE 404
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6088
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Country | US
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Telephone | 954-360-6550
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Fax | 954-340-8488
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Provider Business Mailing Address
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Address Line | 7400 BRIGANTINE LN
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City | PARKLAND
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State | FL
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Zip | 33067-1636
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Country | US
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Telephone | 954-752-1045
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Fax | 954-344-9651
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN11443
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License Number State | FL
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