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General NPI Number Information
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NPI Number | 1023078409
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Entity Type | Individual
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Provider Name | JOHN L PFAIL DDS
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL ANNENBERG 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10029-6500
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Country | US
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Telephone | 212-241-0300
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Fax | 212-996-9793
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Provider Business Mailing Address
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Address Line | 1 GUSTAVE L LEVY PL
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City | NEW YORK
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State | NY
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Zip | 10029-6500
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Country | US
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Telephone | 212-241-0300
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Fax | 212-996-9693
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 035385-1
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License Number State | NY
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