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General NPI Number Information
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NPI Number | 1023154481
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Entity Type | Organization
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Legal Business Name | DAWSHWE CLINIC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 7 CHATHAM SQ SUITE 703
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City | NEW YORK
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State | NY
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Zip | 10038-1000
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Country | US
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Telephone | 212-619-1141
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Fax |
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Provider Business Mailing Address
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Address Line | 133 E 58TH ST SUITE 412
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City | NEW YORK
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State | NY
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Zip | 10022-1236
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Country | US
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Telephone | 212-751-0555
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. CAROLINE NUP
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Credential | D.D.S.
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Telephone | 212-619-1141
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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 |
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License Number State | NY
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