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General NPI Number Information
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NPI Number | 1962610998
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Entity Type | Organization
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Legal Business Name | ALAFAYA DENTAL ASSOCIATES PA
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 05/10/2013
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Provider Practice Location Address
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Address Line | 11907 E COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32826-4725
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Country | US
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Telephone | 407-381-1960
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Fax | 407-381-1644
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Provider Business Mailing Address
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Address Line | 11907 E COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32826-4725
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Country | US
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Telephone | 407-381-1960
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Fax | 407-381-1644
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | BHASKER PATEL
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Credential | D.D.S
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Telephone | 407-381-1960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN09473
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License Number State | FL
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