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General NPI Number Information
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NPI Number | 1871759266
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Entity Type | Organization
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Legal Business Name | OANA MIERLOI DDS, PA
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 1425 HAND AVE SUITE J
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City | ORMOND BEACH
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State | FL
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Zip | 32174-1135
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Country | US
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Telephone | 386-677-5552
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Fax | 386-677-5526
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Provider Business Mailing Address
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Address Line | 1425 HAND AVE SUITE J
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City | ORMOND BEACH
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State | FL
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Zip | 32174-1135
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Country | US
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Telephone | 386-677-5552
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Fax | 386-677-5526
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Authorized Official
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Title or Position | PRESIDENT
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Name | OANA MIERLOI
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Credential | DDS
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Telephone | 386-677-5552
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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 | DN 16191
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License Number State | FL
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