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General NPI Number Information
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NPI Number | 1073105250
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Entity Type | Organization
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Legal Business Name | HARBOR POINT DENTAL AT GREENWICH PC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 75 HOLLY HILL LN
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City | GREENWICH
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State | CT
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Zip | 06830-6098
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Country | US
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Telephone | 203-548-0826
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Fax |
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Provider Business Mailing Address
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Address Line | 200 WESTAGE BUSINESS CTR DR STE 233
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City | FISHKILL
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State | NY
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Zip | 12524-2262
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Country | US
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Telephone | 845-897-2097
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Fax |
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | ADAM SPOSATO
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Credential |
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Telephone | 646-208-1456
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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 |
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License Number State |
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