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General NPI Number Information
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NPI Number | 1043503949
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Entity Type | Organization
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Legal Business Name | ARCH DENTAL ASSOCIATES
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 05/25/2011
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Provider Practice Location Address
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Address Line | 3 WASHINGTON SQUARE VLG SUITE 1B/D
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City | NEW YORK
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State | NY
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Zip | 10012-1836
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Country | US
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Telephone | 212-477-4330
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Fax | 212-674-2290
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Provider Business Mailing Address
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Address Line | 3 WASHINGTON SQUARE VLG SUITE 1B/D
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City | NEW YORK
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State | NY
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Zip | 10012-1836
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Country | US
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Telephone | 212-477-4330
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | ANGELA BUTO
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Credential |
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Telephone | 516-683-1870
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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 |
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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Taxonomy #3
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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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