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General NPI Number Information
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NPI Number | 1043675424
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Entity Type | Organization
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Legal Business Name | HOWARD A. POPPER, DDS
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 12/29/2015
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Provider Practice Location Address
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Address Line | 999 WALT WHITMAN RD SUITE 302
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City | MELVILLE
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State | NY
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Zip | 11747-3007
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Country | US
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Telephone | 631-385-9400
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Fax | 631-385-9421
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Provider Business Mailing Address
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Address Line | 999 WALT WHITMAN RD SUITE 302
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City | MELVILLE
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State | NY
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Zip | 11747-3007
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Country | US
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Telephone | 631-385-9400
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Fax | 631-385-9421
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Authorized Official
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Title or Position | OWNER/PERIODONTIST
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Name | DR. HOWARD A POPPER
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Credential | DDS
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Telephone | 631-385-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 049725
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License Number State | NY
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