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General NPI Number Information
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NPI Number | 1891494001
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Entity Type | Organization
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Legal Business Name | DENTISTRY OF APOPKA, PA
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 1585 ROCK SPRINGS RD
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City | APOPKA
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State | FL
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Zip | 32712-2231
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Country | US
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Telephone | 407-884-1846
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Fax |
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Provider Business Mailing Address
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Address Line | 1762 BRACKENHURST PL
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City | LAKE MARY
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State | FL
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Zip | 32746-4609
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Country | US
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Telephone | 407-388-8346
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. REWAN CHARLES BOWEN
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Credential | DDS
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Telephone | 407-388-8346
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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 |
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License Number State |
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