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General NPI Number Information
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NPI Number | 1881721785
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Entity Type | Individual
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Provider Name | PIERO G. PALACIOS D.D.S, M.S.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8740 N KENDALL DR SUITE 203
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City | MIAMI
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State | FL
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Zip | 33176-2212
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Country | US
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Telephone | 305-274-3113
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Fax | 305-271-3640
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Provider Business Mailing Address
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Address Line | 1111 BRICKELL BAY DR APARTMENT 409
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City | MIAMI
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State | FL
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Zip | 33131-2950
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Country | US
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Telephone | 860-223-7014
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Fax | 305-271-3640
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN17443
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License Number State | FL
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