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General NPI Number Information
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NPI Number | 1073520797
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Entity Type | Organization
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Legal Business Name | MARK J GROSS DDS & ANDREW S KAPLAN DMD PTR
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 11 E 86TH ST 1A
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City | NEW YORK
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State | NY
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Zip | 10028-0501
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Country | US
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Telephone | 212-987-7400
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Fax | 212-987-7498
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Provider Business Mailing Address
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Address Line | 11 E 86TH ST 1A
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City | NEW YORK
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State | NY
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Zip | 10028-0501
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Country | US
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Telephone | 212-987-7400
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Fax | 212-987-7498
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Authorized Official
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Title or Position | PARTNER
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Name | DR. ANDREW S. KAPLAN
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Credential | DMD
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Telephone | 212-987-7400
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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 | 035277
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License Number State | NY
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