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General NPI Number Information
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NPI Number | 1114142858
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Entity Type | Individual
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Provider Name | PAUL J GETREU D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 25301 ROCKAWAY BLVD FIVE TOWNS PLAZA
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City | ROSEDALE
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State | NY
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Zip | 11422-3113
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Country | US
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Telephone | 516-569-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 253-01 ROCKAWAY BLVD. FIVE TOWNS SHOPPING CENTER
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City | ROSEDALE
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State | NY
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Zip | 11422-0000
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Country | US
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Telephone | 516-569-3524
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Fax | 516-569-7201
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 36838
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License Number State | NY
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