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General NPI Number Information
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NPI Number | 1851270425
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Entity Type | Organization
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Legal Business Name | CALIMA DENTAL CYPRESS LLC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 13300 S CLEVELAND AVE STE 46
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City | FORT MYERS
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State | FL
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Zip | 33907-3883
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Country | US
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Telephone | 239-768-1011
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Fax | 239-768-9311
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Provider Business Mailing Address
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Address Line | 13300 S CLEVELAND AVE STE 46
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City | FORT MYERS
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State | FL
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Zip | 33907-3883
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Country | US
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Telephone | 239-768-1011
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Fax | 239-768-9311
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Authorized Official
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Title or Position | OWNER
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Name | KATIA VALLADARES SUAREZ
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Credential | DMD
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Telephone | 239-768-1011
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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 |
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License Number State |
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