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General NPI Number Information
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NPI Number | 1881588630
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Entity Type | Individual
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Provider Name | ROCIO LISSETE GONZALEZ BRITO
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Gender | Female
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1440 NW NORTH RIVER DR STE 345
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City | MIAMI
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State | FL
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Zip | 33125-2894
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Country | US
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Telephone | 786-353-9887
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Fax | 786-320-6281
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Provider Business Mailing Address
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Address Line | 9280 SW 38TH ST
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City | MIAMI
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State | FL
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Zip | 33165-4144
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Country | US
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Telephone | 786-767-1856
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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