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NPI 1891986014

NPI 1891986014 : ALL SMILES FAMILY DENTAL, P.A. : APOPKA, FL

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General NPI Number Information
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    NPI Number           |    1891986014
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALL SMILES FAMILY DENTAL, P.A. 
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Dates
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    Enumeration Date     |    08/05/2007
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    Last Update Date     |    09/17/2008
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Provider Practice Location Address
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    Address Line         |    1140 ROCK SPRINGS RD 
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    City                 |    APOPKA
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    State                |    FL
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    Zip                  |    32712-2312
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    Country              |    US
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    Telephone            |    407-889-8300
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    Fax                  |    407-880-8305
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Provider Business Mailing Address
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    Address Line         |    1140 ROCK SPRINGS RD 
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    City                 |    APOPKA
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    State                |    FL
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    Zip                  |    32712-2312
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    Country              |    US
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    Telephone            |    407-889-8300
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    Fax                  |    407-880-8305
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Authorized Official
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    Title or Position    |    DENTIST/PRESIDENT
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    Name                 |    DR. DEBBIE-ANN NATALIE BAILEY 
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    Credential           |    D.M.D.
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    Telephone            |    407-889-8300
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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       |    DN 15607
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    License Number State |    FL
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