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General NPI Number Information
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NPI Number | 1861870396
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Entity Type | Organization
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Legal Business Name | LAWRENCE L RESSLER DMD PA
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Dates
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Enumeration Date | 05/17/2015
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Last Update Date | 05/17/2015
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Provider Practice Location Address
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Address Line | 15300 JOG RD STE 201
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2166
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Country | US
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Telephone | 561-499-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 15300 JOG RD STE 201
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2166
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Country | US
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Telephone | 561-499-7400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE LOWELL RESSLER
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Credential | D.M.D.
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Telephone | 561-499-7400
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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 | DN15228
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License Number State | FL
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