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General NPI Number Information
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NPI Number | 1952822470
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Entity Type | Organization
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Legal Business Name | IDENTAL OF WEST PLAM BEACH, PLLC
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 6901 OKEECHOBEE BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2511
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Country | US
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Telephone | 561-684-5800
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Fax | 561-684-8830
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Provider Business Mailing Address
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Address Line | 1507 LYONS RD
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City | COCONUT CREEK
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State | FL
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Zip | 33063-3934
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Country | US
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Telephone | 954-974-4101
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Fax |
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Authorized Official
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Title or Position | DENTIST / OWNER
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Name | MICHAEL FLOYD BATTLE
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Credential | DDS
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Telephone | 727-327-5561
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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 | DN16932
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License Number State | FL
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