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General NPI Number Information
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NPI Number | 1932378452
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Entity Type | Organization
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Legal Business Name | DENTALAND PA
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 9601 W ATLANTIC BLVD
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6538
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Country | US
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Telephone | 954-753-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 3230 W COMMERCIAL BLVD SUITE #190
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3429
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Country | US
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Telephone | 954-730-7560
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JEFFERY FEINGOLD
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Credential | DDS
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Telephone | 954-730-7560
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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 | 3110000500
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License Number State | FL
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