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General NPI Number Information
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NPI Number | 1922027598
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Entity Type | Individual
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Provider Name | ELIZABETH T ZIADIE D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 9720 STIRLING RD STE 211
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City | HOLLYWOOD
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State | FL
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Zip | 33024-8015
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Country | US
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Telephone | 954-599-8857
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Fax | 954-431-5740
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Provider Business Mailing Address
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Address Line | 14451 PEDIGREE LN
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City | SOUTHWEST RANCHES
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State | FL
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Zip | 33330-2107
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Country | US
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Telephone | 954-680-9364
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DN12437
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License Number State | FL
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