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General NPI Number Information
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NPI Number | 1023314713
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Entity Type | Organization
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Legal Business Name | ALL ABOUT SMILES DENTISTRY, PLLC
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Dates
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Enumeration Date | 01/28/2011
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Last Update Date | 01/28/2011
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Provider Practice Location Address
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Address Line | 3471 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-5424
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Country | US
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Telephone | 516-536-5800
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Fax | 516-536-0186
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Provider Business Mailing Address
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Address Line | 3471 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-5424
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Country | US
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Telephone | 516-536-5800
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Fax | 516-536-0186
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. ADAM DAVID SHATZ
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Credential | D.D.S.
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Telephone | 516-536-5800
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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 | 047087
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License Number State | NY
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