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General NPI Number Information
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NPI Number | 1821917162
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Entity Type | Individual
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Provider Name | MARISSA ANDREOU DDS
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Gender | Female
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Dates
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Enumeration Date | 07/11/2026
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Last Update Date | 07/11/2026
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Provider Practice Location Address
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Address Line | 715 PALM BAY RD NE UNIT 107
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-9201
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Country | US
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Telephone | 321-410-8622
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Fax |
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Provider Business Mailing Address
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Address Line | 2361 WILLET PL APT 3216
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City | MELBOURNE
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State | FL
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Zip | 32940-3632
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Country | US
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Telephone | 586-623-9606
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN32196
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License Number State | FL
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