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General NPI Number Information
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NPI Number | 1912248147
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Entity Type | Organization
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Legal Business Name | HEALTHY SMILES, PA
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Dates
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Enumeration Date | 03/13/2013
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 3200 SW 34TH AVE SUITE 401
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City | OCALA
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State | FL
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Zip | 34474-7456
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Country | US
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Telephone | 352-372-5437
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Fax | 352-867-5437
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Provider Business Mailing Address
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Address Line | 3200 SW 34TH AVE SUITE 401
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City | OCALA
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State | FL
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Zip | 34474-7456
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Country | US
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Telephone | 352-372-5437
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Fax | 352-867-5437
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ADRIANA RICK
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Credential | DDS
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Telephone | 407-353-1001
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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 | 18920
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License Number State | FL
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