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General NPI Number Information
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NPI Number | 1073694048
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Entity Type | Organization
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Legal Business Name | A CARING DENTIST PC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 97 03 101 AVE
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City | OZONE PARK
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State | NY
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Zip | 11416
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Country | US
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Telephone | 718-845-4242
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Fax | 718-835-1616
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Provider Business Mailing Address
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Address Line | 158 42 86 STREET
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City | HOWARD BEACH
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State | NY
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Zip | 11414
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Country | US
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Telephone | 718-843-9726
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Fax |
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Authorized Official
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Title or Position | DDS/OWNER
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Name | MR. SERGIO MOLINARO
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Credential | DDS
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Telephone | 718-845-5242
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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 | 044477
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License Number State | NY
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