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General NPI Number Information
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NPI Number | 1992598775
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Entity Type | Individual
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Provider Name | ELIZABETH DEL TORO GUTIERREZ DMD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1437 NE 1ST TER
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City | HOMESTEAD
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State | FL
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Zip | 33030-4538
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Country | US
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Telephone | 786-360-0052
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Fax |
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Provider Business Mailing Address
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Address Line | 11401 SW 132ND AVE
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City | MIAMI
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State | FL
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Zip | 33186-4642
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Country | US
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Telephone | 786-222-1799
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Fax |
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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 | DN30318
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License Number State | FL
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