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NPI 1043575095

NPI 1043575095 : HUDSON VIEW ORTHODONTICS, PC. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1043575095
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUDSON VIEW ORTHODONTICS, PC. 
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Dates
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    Enumeration Date     |    07/05/2012
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    Last Update Date     |    07/05/2012
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Provider Practice Location Address
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    Address Line         |    620 FORT WASHINGTON AVE APT 1M 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10040-3930
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    Country              |    US
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    Telephone            |    212-923-5777
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    Fax                  |    212-568-3280
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Provider Business Mailing Address
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    Address Line         |    620 FORT WASHINGTON AVE APT 1M 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10040-3930
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    Country              |    US
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    Telephone            |    212-923-5777
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    Fax                  |    212-568-3280
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MR. MURAT  CALKAP 
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    Credential           |    
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    Telephone            |    212-923-5777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    047941
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    License Number State |    NY
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