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General NPI Number Information
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NPI Number | 1952832321
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Entity Type | Individual
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Provider Name | ANGELA PAOLA URRUCHI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 07/20/2018
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Provider Practice Location Address
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Address Line | 6720 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-541-9796
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Fax |
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Provider Business Mailing Address
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Address Line | 17150 N BAY RD APT 2602
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-3462
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Country | US
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Telephone | 305-609-0434
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN23329
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License Number State | FL
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