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General NPI Number Information
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NPI Number | 1831636968
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Entity Type | Individual
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Provider Name | DIEGO ARAUJO DALLA BONA DDS
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Gender | Male
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 01/26/2017
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Provider Practice Location Address
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Address Line | 5521 N UNIVERSITY DR SUITE 101
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4648
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Country | US
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Telephone | 954-341-1000
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Fax | 954-342-0030
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Provider Business Mailing Address
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Address Line | 1030 NE 11TH AVE 403
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-2180
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Country | US
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Telephone | 305-764-0396
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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 | DN22392
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License Number State | FL
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