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General NPI Number Information
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NPI Number | 1144349846
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Entity Type | Individual
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Provider Name | STEVEN L TUSHMAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1350 AVENUE OF THE AMERICAS SUTE 2708
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City | NEW YORK
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State | NY
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Zip | 10019-4702
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Country | US
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Telephone | 212-246-4420
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Fax | 212-262-3565
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Provider Business Mailing Address
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Address Line | 3 WALWORTH AVE
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City | SCARSDALE
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State | NY
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Zip | 10583-1417
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Country | US
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Telephone | 914-723-4915
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Fax | 212-262-3565
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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 | 029128
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License Number State | NY
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