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General NPI Number Information
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NPI Number | 1821401001
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Entity Type | Organization
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Legal Business Name | JENNIFER M. ADELSON, DDS, PA
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Dates
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Enumeration Date | 06/05/2014
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Last Update Date | 06/05/2014
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Provider Practice Location Address
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Address Line | 501 GOLDEN ISLES DR SUITE 202
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4729
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Country | US
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Telephone | 954-889-8889
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Fax | 954-862-6899
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Provider Business Mailing Address
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Address Line | 501 GOLDEN ISLES DR SUITE 202
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4729
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Country | US
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Telephone | 954-889-8889
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Fax | 954-862-6899
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JENNIFER M. ADELSON
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Credential | DDS
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Telephone | 954-889-8889
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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 | DN15540
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License Number State | FL
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