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General NPI Number Information
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NPI Number | 1982012860
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Entity Type | Organization
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Legal Business Name | DEERING DENTAL LLC
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 16709 OLD CUTLER RD
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City | PALMETTO BAY
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State | FL
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Zip | 33157-2537
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Country | US
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Telephone | 305-400-9489
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Fax |
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Provider Business Mailing Address
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Address Line | 18450 SW 84TH CT
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City | CUTLER BAY
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State | FL
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Zip | 33157-7212
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | YENILE PINTO
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Credential |
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Telephone | 305-400-9489
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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 |
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License Number State |
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