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NPI 1841120433

NPI 1841120433 : AMELIA CACERES DMD PLLC : CLEARWATER, FL

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General NPI Number Information
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    NPI Number           |    1841120433
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMELIA CACERES DMD PLLC 
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Dates
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    Enumeration Date     |    05/23/2026
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    Last Update Date     |    05/23/2026
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Provider Practice Location Address
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    Address Line         |    1437 COURT ST 
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    City                 |    CLEARWATER
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    State                |    FL
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    Zip                  |    33756-6146
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    Country              |    US
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    Telephone            |    727-443-5514
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    Fax                  |    727-447-6294
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Provider Business Mailing Address
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    Address Line         |    1437 COURT ST 
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    City                 |    CLEARWATER
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    State                |    FL
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    Zip                  |    33756-6146
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     AMELIA M CACERES 
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    Credential           |    DMD
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    Telephone            |    239-246-6012
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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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