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General NPI Number Information
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NPI Number | 1003940875
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Entity Type | Organization
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Legal Business Name | AMY M. MOLINARO, D.M.D., P.C.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 1740 UNION ST
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City | SCHENECTADY
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State | NY
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Zip | 12309-6233
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Country | US
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Telephone | 518-346-6429
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Fax | 518-346-8495
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Provider Business Mailing Address
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Address Line | 28 RONNIE CT
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City | SCHENECTADY
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State | NY
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Zip | 12306-2555
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Country | US
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Telephone | 518-356-1511
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMY MARY SEMENTILLI
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Credential | D.M.D.
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Telephone | 518-356-1511
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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 | 046910-1
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License Number State | NY
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