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General NPI Number Information
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NPI Number | 1821433111
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Entity Type | Organization
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Legal Business Name | PAULO A SARRIA INC
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 6180 W SAMPLE RD STE 109
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-3274
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Country | US
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Telephone | 954-227-2718
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Fax |
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Provider Business Mailing Address
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Address Line | 6180 W SAMPLE RD STE 109
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-3274
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Country | US
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Telephone | 954-227-2718
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. YAJAIRA I TORRES
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Credential |
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Telephone | 954-227-2718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN19057
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License Number State | FL
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