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General NPI Number Information
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NPI Number | 1891290946
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Entity Type | Individual
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Provider Name | ANDREA MARIANA TERRIS
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Gender | Female
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 12000 BISCAYNE BLVD STE 130
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2742
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Country | US
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Telephone | 305-891-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 BRICKELL AVE APT 1412
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City | MIAMI
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State | FL
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Zip | 33129-2413
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Country | US
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Telephone | 305-858-5046
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DRP1813
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License Number State | FL
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