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General NPI Number Information
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NPI Number | 1083870273
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Entity Type | Organization
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Legal Business Name | CARING FOR KIDS PEDIATRIC DENTISTRY, P.C.
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 140 LOCKWOOD AVE SUITE 315
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-4915
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Country | US
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Telephone | 914-355-2265
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Fax | 914-355-2264
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Provider Business Mailing Address
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Address Line | 140 LOCKWOOD AVE SUITE 315
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-4915
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Country | US
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Telephone | 914-355-2265
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Fax | 914-355-2264
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IVIS M. GETZ
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Credential | DMD
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Telephone | 914-355-2265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 053157
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License Number State | NY
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