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NPI 1881706406

NPI 1881706406 : DAYSY PINERO, D.M.D., P.A. : CORAL SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1881706406
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    Entity Type          |    Organization 
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    Legal Business Name  |    DAYSY PINERO, D.M.D., P.A. 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    09/06/2016
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Provider Practice Location Address
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    Address Line         |    10212 W SAMPLE RD 
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33065-3940
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    Country              |    US
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    Telephone            |    954-796-3355
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    Fax                  |    954-796-8855
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Provider Business Mailing Address
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    Address Line         |    10212 W SAMPLE RD 
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33065-3940
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    Country              |    US
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    Telephone            |    954-796-3355
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    Fax                  |    954-796-8855
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. DAYSY EMILIA PINERO 
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    Credential           |    D.M.D.
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    Telephone            |    954-796-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DN 16420
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    License Number State |    FL
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