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General NPI Number Information
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NPI Number | 1861518433
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Entity Type | Individual
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Provider Name | GENA PINEDA DDS
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 2301 GLADES RD STE 101
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City | BOCA RATON
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State | FL
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Zip | 33431-7398
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Country | US
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Telephone | 618-304-5988
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 GLADES RD STE 101
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City | BOCA RATON
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State | FL
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Zip | 33431-7398
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Country | US
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Telephone | 561-208-1988
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Fax | 561-208-1981
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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 | DN27480
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License Number State | FL
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