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General NPI Number Information
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NPI Number | 1881986891
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Entity Type | Individual
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Provider Name | YANEPSI COTELO-PARDO D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/01/2015
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Provider Practice Location Address
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Address Line | 299 ALHAMBRA CIR 202
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City | CORAL GABLES
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State | FL
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Zip | 33134-5106
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Country | US
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Telephone | 305-444-3074
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Fax | 844-270-7764
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Provider Business Mailing Address
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Address Line | 2746 SW 131ST CT
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City | MIAMI
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State | FL
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Zip | 33175-7184
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Country | US
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Telephone | 786-398-1325
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN20131
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License Number State | FL
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