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General NPI Number Information
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NPI Number | 1053572826
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Entity Type | Individual
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Provider Name | CAROL ELLEN JASPIN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 41 EAST 57TH ST STE 2501
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City | NEW YORK
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State | NY
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Zip | 10022-1908
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Country | US
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Telephone | 212-421-6055
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Fax | 212-751-6614
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Provider Business Mailing Address
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Address Line | 41 EAST 57TH ST STE 2501
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City | NEW YORK
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State | NY
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Zip | 10022-1908
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Country | US
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Telephone | 212-421-6055
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Fax | 212-751-6614
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 034756
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License Number State | NY
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