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General NPI Number Information
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NPI Number | 1821725383
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Entity Type | Organization
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Legal Business Name | DENTAL IMPLANT 24HRS SOUTH MIAMI
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 6280 SUNSET DR STE 401
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4860
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Country | US
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Telephone | 305-423-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 SW 87TH AVE
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City | MIAMI
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State | FL
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Zip | 33174-3312
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Country | US
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Telephone | 786-683-0698
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSE ALBERTO
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Credential | DDS
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Telephone | 786-683-0698
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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 |
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License Number State |
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