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General NPI Number Information
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NPI Number | 1881704880
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Entity Type | Organization
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Legal Business Name | ARMANDO BLARDONIS, DDS, PA
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 5863 N UNIVERSITY DR
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City | TAMARAC
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State | FL
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Zip | 33321-4617
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Country | US
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Telephone | 954-720-2444
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Fax | 954-597-1837
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Provider Business Mailing Address
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Address Line | 5863 N UNIVERSITY DR
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City | TAMARAC
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State | FL
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Zip | 33321-4617
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Country | US
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Telephone | 954-720-2444
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Fax | 954-597-1837
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARMANDO BLARDONIS
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Credential |
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Telephone | 954-720-2444
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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 | DN0012868
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License Number State | FL
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