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General NPI Number Information
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NPI Number | 1972874519
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Entity Type | Individual
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Provider Name | CESAR F HURTADO JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 12/29/2012
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Provider Practice Location Address
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Address Line | 9463 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33174-2010
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Country | US
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Telephone | 305-444-1555
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Fax | 305-226-7669
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Provider Business Mailing Address
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Address Line | 9463 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33174-2010
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Country | US
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Telephone | 305-444-1555
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Fax | 305-226-7669
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10614
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License Number State | CO
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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 | DN 20027
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License Number State | FL
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