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General NPI Number Information
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NPI Number | 1881389278
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Entity Type | Individual
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Provider Name | ELIANA M BURGUERA DDS
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Gender | Female
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1106 CYPRESS GLEN CIR
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City | KISSIMMEE
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State | FL
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Zip | 34741-7559
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Country | US
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Telephone | 407-627-0424
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Fax |
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Provider Business Mailing Address
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Address Line | 9453 DOWDEN RD APT 1206
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City | ORLANDO
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State | FL
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Zip | 32832-5624
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Country | US
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Telephone | 786-710-8924
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DRPM2566
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30194
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License Number State | FL
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