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General NPI Number Information
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NPI Number | 1013305937
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Entity Type | Organization
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Legal Business Name | BILLINGS DENTAL CARE P.C
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 2411 ROUTE 82
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City | BILLINGS
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State | NY
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Zip | 12510-9800
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Country | US
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Telephone | 845-223-3966
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Fax |
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Provider Business Mailing Address
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Address Line | 2411 ROUTE 82 P.O BOX 94
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City | BILLINGS
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State | NY
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Zip | 12510-9800
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Country | US
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Telephone | 845-223-3966
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. VICTOR NESHEIWAT
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Credential |
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Telephone | 917-686-9195
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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 | 052855
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License Number State | NY
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