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General NPI Number Information
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NPI Number | 1013183995
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Entity Type | Organization
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Legal Business Name | NYU COLLEGES OF DENTISTRY & NURSING
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 345 E 24TH ST 213S
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 212-998-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 345 E 24TH ST 213S
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 212-998-9800
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE DEAN FOR CLINICAL AFFAIRS
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Name | DR. COSMO V DE STENO
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Credential | D.M.D., PH.D.
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Telephone | 212-998-9800
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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 | 70072
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License Number State | NJ
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