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General NPI Number Information
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NPI Number | 1982355897
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Entity Type | Organization
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Legal Business Name | SG ZAMBRANO ORTHODONTIC GROUP PLLC
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 550 BILTMORE WAY STE 770
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City | CORAL GABLES
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State | FL
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Zip | 33134-5730
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Country | US
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Telephone | 305-394-8112
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Fax |
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Provider Business Mailing Address
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Address Line | 550 BILTMORE WAY STE 770
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City | CORAL GABLES
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State | FL
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Zip | 33134-5730
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Country | US
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Telephone | 305-394-8112
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Fax |
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Authorized Official
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Title or Position | ASSISTANT MANAGER
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Name | ANNE TODD
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Credential | DMD
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Telephone | 978-387-6025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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