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General NPI Number Information
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NPI Number | 1033738414
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Entity Type | Organization
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Legal Business Name | SAMINA HAQUE DMD PLLC
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 25012 HILLSIDE AVE STE A
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City | BELLEROSE
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State | NY
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Zip | 11426-2139
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Country | US
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Telephone | 718-343-0900
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Fax | 718-343-0901
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Provider Business Mailing Address
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Address Line | 119 INGRAHAM LN
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-4275
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Country | US
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Telephone | 646-884-4094
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | SAMINA HAQUE
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Credential | DMD
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Telephone | 718-343-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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