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General NPI Number Information
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NPI Number | 1093271710
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Entity Type | Organization
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Legal Business Name | LITTLE SMILES PEDIATRIC DENTISTRY, PLLC
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 535 HUDSON STREET 1C APT #3G
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City | NEW YORK
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State | NY
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Zip | 10014
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Country | US
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Telephone | 646-374-1804
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Fax |
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Provider Business Mailing Address
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Address Line | 260 W 15TH ST APT 3F
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City | NEW YORK
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State | NY
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Zip | 10011-6502
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Country | US
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Telephone | 407-468-7609
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. CAROLINA ESCOBEDO
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Credential | DMD
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Telephone | 407-468-7609
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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 |
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License Number State |
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