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General NPI Number Information
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NPI Number | 1053399121
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Entity Type | Organization
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Legal Business Name | A & I DENTAL PC
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1723 GREAT NECK RD
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City | COPIAGUE
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State | NY
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Zip | 11726-2703
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Country | US
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Telephone | 631-598-3331
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Fax | 631-598-2103
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Provider Business Mailing Address
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Address Line | 1723 GREAT NECK RD
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City | COPIAGUE
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State | NY
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Zip | 11726-2703
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Country | US
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Telephone | 631-598-3331
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Fax | 631-598-2103
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Authorized Official
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Title or Position | VP
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Name | ANDREW MARKOWTIZ
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Credential |
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Telephone | 631-598-3331
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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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