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General NPI Number Information
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NPI Number | 1891565057
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Entity Type | Organization
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Legal Business Name | H&H SMILE DDS, PA
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 3398 FORUM BLVD STE 102
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City | FORT MYERS
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State | FL
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Zip | 33905-5577
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Country | US
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Telephone | 239-880-1919
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Fax | 329-880-1918
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Provider Business Mailing Address
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Address Line | 14267 MINDELLO DR
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City | FORT MYERS
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State | FL
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Zip | 33905-5685
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Country | US
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Telephone | 786-498-8451
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ABELARDO HEREDIA LAURENCIO
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Credential | DDS
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Telephone | 786-498-8451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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