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General NPI Number Information
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NPI Number | 1053468793
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Entity Type | Organization
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Legal Business Name | PERRATTO AND CHIMENTI LLP
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 285 MIDDLE COUNTRY ROAD SUITE LL3
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City | SMITHTOWN
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State | NY
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Zip | 11787
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Country | US
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Telephone | 631-382-2495
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Fax | 631-382-5076
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Provider Business Mailing Address
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Address Line | 285 MIDDLE COUNTRY ROAD SUITE LL3
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City | SMITHTOWN
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State | NY
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Zip | 11787
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Country | US
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Telephone | 631-382-2495
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Fax | 631-382-5076
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Authorized Official
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Title or Position | DENTIST
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Name | DR. LAURA R C PERRATTO
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Credential | DMD
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Telephone | 631-382-2495
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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 | 0416301
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0411161
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License Number State | NY
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