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NPI 1144413196

NPI 1144413196 : STEVEN RATNER,P.C. : STATEN ISLAND, NY

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General NPI Number Information
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    NPI Number           |    1144413196
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEVEN RATNER,P.C. 
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Dates
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    Enumeration Date     |    08/23/2007
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    Last Update Date     |    08/23/2007
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Provider Practice Location Address
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    Address Line         |    1011 RICHMOND RD 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10304-2413
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    Country              |    US
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    Telephone            |    718-981-1800
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    Fax                  |    718-981-4774
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Provider Business Mailing Address
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    Address Line         |    1011 RICHMOND RD 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10304-2413
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    Country              |    US
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    Telephone            |    718-981-1800
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    Fax                  |    718-981-4774
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. STEVEN RATNER  RATNER 
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    Credential           |    D.D.S.
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    Telephone            |    718-981-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    023709
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    License Number State |    NY
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