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General NPI Number Information
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NPI Number | 1841870227
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Entity Type | Individual
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Provider Name | YASMIL DESCALZO-ALFONSO DDS
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Gender | Female
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Dates
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Enumeration Date | 04/10/2021
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 7735 NW 146TH ST STE 101
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1583
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Country | US
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Telephone | 305-556-0528
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Fax |
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Provider Business Mailing Address
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Address Line | 6600 MAIN ST APT 1616
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2296
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Country | US
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Telephone | 786-281-5787
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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 | 11838
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN28776
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License Number State | FL
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