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General NPI Number Information
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NPI Number | 1881751956
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Entity Type | Individual
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Provider Name | PATRICIA GONZALEZ TEMPLETON D.D.S
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Gender | Female
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2249 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3611
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Country | US
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Telephone | 954-983-1680
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Fax |
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Provider Business Mailing Address
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Address Line | 2249 N UNIVERSITY DRIVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-983-1680
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN14445
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License Number State | FL
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