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General NPI Number Information
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NPI Number | 1831332048
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTURES - FORT LAUDERDALE, P.A.
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Dates
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Enumeration Date | 04/17/2009
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 8393 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6607
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Country | US
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Telephone | 954-431-2944
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Fax |
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Provider Business Mailing Address
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Address Line | 8393 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6607
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Country | US
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Telephone | 954-431-2944
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY FRIEFELD
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Credential |
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Telephone | 954-431-2944
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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 | DN10908
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License Number State | FL
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