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General NPI Number Information
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NPI Number | 1043466063
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Entity Type | Individual
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Provider Name | PATRICK M.T. NGAFOOK D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 24 W 57TH ST SUITE #507
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City | NEW YORK
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State | NY
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Zip | 10019-3918
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Country | US
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Telephone | 212-421-3418
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Fax |
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Provider Business Mailing Address
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Address Line | 147 SPRUCE ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2020
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Country | US
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Telephone | 516-384-8855
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 054055
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 054055
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License Number State | NY
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