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General NPI Number Information
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NPI Number | 1053408914
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Entity Type | Organization
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Legal Business Name | JAMES DIGIACINTO DDS EVAN KANTOR DMD PC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 98 SMITH AVE
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City | MT KISCO
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State | NY
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Zip | 10549
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Country | US
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Telephone | 914-666-2133
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Fax | 914-666-3509
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Provider Business Mailing Address
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Address Line | 98 SMITH AVE
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City | MT KISCO
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State | NY
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Zip | 10549
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Country | US
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Telephone | 914-666-2133
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Fax | 914-666-3509
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. EVAN G KANTOR
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Credential | DMD
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Telephone | 914-666-2133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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