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General NPI Number Information
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NPI Number | 1023110533
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Entity Type | Individual
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Provider Name | ALON MEIR PRYWES D.M.D
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Gender | Male
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Dates
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Enumeration Date | 09/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 33 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10003-4338
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Country | US
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Telephone | 212-982-4439
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Fax | 212-677-1907
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Provider Business Mailing Address
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Address Line | 33 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10003-4338
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Country | US
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Telephone | 212-982-4439
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Fax | 212-677-1907
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 036360
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License Number State | NY
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