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General NPI Number Information
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NPI Number | 1992152300
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Entity Type | Organization
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Legal Business Name | MIAMI ORTHODONTIC SPECIALISTS
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 8525 SW 92ND ST SUITE B-9
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City | MIAMI
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State | FL
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Zip | 33156-7365
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Country | US
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Telephone | 305-407-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 8525 SW 92ND ST SUITE B-9
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City | MIAMI
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State | FL
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Zip | 33156-7365
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Country | US
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Telephone | 305-407-9000
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CARMEN A. GARCIA-PAUL
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Credential | DMD, MS
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Telephone | 305-407-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN 19515
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License Number State | FL
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