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General NPI Number Information
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NPI Number | 1922996305
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Entity Type | Individual
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Provider Name | ARGENIS D JESUS FERREBUS RODRIGUEZ DMD
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Gender | Male
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 603 S STATE ROAD 7 STE A
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City | HOLLYWOOD
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State | FL
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Zip | 33023-6723
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Country | US
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Telephone | 786-616-9171
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Fax |
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Provider Business Mailing Address
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Address Line | 10616 MENDOCINO LN
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City | BOCA RATON
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State | FL
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Zip | 33428-1228
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Country | US
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Telephone | 786-616-9171
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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 | 122400000X
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Taxonomy Name | Denturist
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License Number | 30604
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License Number State | FL
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