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General NPI Number Information
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NPI Number | 1871975813
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Entity Type | Organization
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Legal Business Name | A&B PEDIATRIC DENTISTS LLC
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 06/26/2015
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Provider Practice Location Address
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Address Line | 6370 N STATE ROAD 7 SUITE 115
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3606
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Country | US
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Telephone | 954-866-4223
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Fax | 844-635-7210
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Provider Business Mailing Address
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Address Line | 6370 N STATE ROAD 7 SUITE 115
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3606
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Country | US
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Telephone | 954-866-4223
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Fax | 844-635-7210
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Authorized Official
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Title or Position | MANAGER
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Name | RICARDO MAJKA
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Credential |
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Telephone | 787-909-0350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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