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NPI 1144251570

NPI 1144251570 : ROBERTA HEATHER SCHREINER DDS : OZONE PARK, NY

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General NPI Number Information
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    NPI Number           |    1144251570
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERTA HEATHER SCHREINER DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/05/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    9120 ATLANTIC AVE 
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    City                 |    OZONE PARK
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    State                |    NY
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    Zip                  |    11417
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    Country              |    US
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    Telephone            |    718-323-9890
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    567 MADISON AVE 
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    City                 |    WEST HEMPSTEAD
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    State                |    NY
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    Zip                  |    11552
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    Country              |    US
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    Telephone            |    516-538-1106
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    Fax                  |    516-538-1106
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    0369011
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    License Number State |    NY
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