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General NPI Number Information
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NPI Number | 1881368785
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Entity Type | Organization
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Legal Business Name | CARE ONE DENTAL OF BOYNTON PA
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 8135 S MILITARY TRL STE 105
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-1504
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Country | US
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Telephone | 561-704-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 2275 S FEDERAL HWY STE 310
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3332
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NICOLE MARON
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Credential |
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Telephone | 845-570-1970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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