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General NPI Number Information
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NPI Number | 1861898603
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Entity Type | Individual
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Provider Name | ALEXANDRO GLACUS DE ARAUJO LIMA DDS
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Gender | Male
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 3200 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33328-2018
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Country | US
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Telephone | 954-262-7350
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Fax |
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Provider Business Mailing Address
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Address Line | 204 NW 134TH TER # 25-102
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City | PLANTATION
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State | FL
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Zip | 33325-7658
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Country | US
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Telephone | 860-503-9200
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 39759
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | TP755
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License Number State | FL
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