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General NPI Number Information
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NPI Number | 1902952195
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Entity Type | Organization
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Legal Business Name | GIOL & JAFFE, LLC
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 2474 SE FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-4531
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Country | US
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Telephone | 772-220-7555
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Fax | 772-220-1016
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Provider Business Mailing Address
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Address Line | 2474 SE FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-4531
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Country | US
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Telephone | 772-220-7555
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Fax | 772-220-1016
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ARLENE ROXAS JAFFE
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Credential | D.D.S.
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Telephone | 772-220-7555
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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 | DN12726
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License Number State | FL
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