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General NPI Number Information
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NPI Number | 1083027833
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Entity Type | Organization
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Legal Business Name | OVINGTON DENTISTRY
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 355 OVINGTON AVE SUITE #101
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City | BROOKLYN
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State | NY
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Zip | 11209-1483
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Country | US
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Telephone | 718-833-2880
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Fax | 718-833-2991
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Provider Business Mailing Address
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Address Line | 355 OVINGTON AVE SUITE #101
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City | BROOKLYN
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State | NY
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Zip | 11209-1483
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Country | US
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Telephone | 718-833-2880
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Fax | 718-833-2991
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Authorized Official
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Title or Position | OWNER
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Name | DR. VINCENT A SETTECASE
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Credential | DDS
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Telephone | 718-833-2880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 045139
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 045139
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 045139
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License Number State | NY
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