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General NPI Number Information
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NPI Number | 1871973271
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Entity Type | Organization
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Legal Business Name | GOLDENT INC
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 8100 ROYAL PALM BLVD SUITE 110
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5733
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Country | US
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Telephone | 954-255-5858
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Fax | 954-255-9393
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Provider Business Mailing Address
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Address Line | 8100 ROYAL PALM BLVD SUITE 110
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5733
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Country | US
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Telephone | 954-255-5858
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Fax | 954-255-9393
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | HARRY PANAHI
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Credential | DMD
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Telephone | 954-255-5858
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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 | DN18481
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License Number State | FL
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