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General NPI Number Information
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NPI Number | 1033860663
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Entity Type | Organization
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Legal Business Name | NEW HEIGHTS DENTAL OFFICE P C
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 436 FORT WASHINGTON AVE APT 1B
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City | NEW YORK
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State | NY
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Zip | 10033-3533
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Country | US
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Telephone | 212-923-6280
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Fax | 212-568-8190
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Provider Business Mailing Address
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Address Line | 436 FORT WASHINGTON AVE APT 1B
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City | NEW YORK
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State | NY
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Zip | 10033-3533
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Country | US
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Telephone | 212-923-6280
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Fax | 212-568-8190
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EVA LEBRON
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Credential | DDS
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Telephone | 212-923-6280
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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 |
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License Number State |
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