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General NPI Number Information
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NPI Number | 1154593390
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Entity Type | Organization
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Legal Business Name | ESTHETICARE DENTAL CONSULTANT PC
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 01/19/2018
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Provider Practice Location Address
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Address Line | 285 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-1206
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Country | US
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Telephone | 212-795-9675
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Fax | 212-795-1631
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Provider Business Mailing Address
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Address Line | 285 FORT WASHINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-1206
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Country | US
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Telephone | 212-795-9675
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Fax | 212-795-1631
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. ARVIND PHILOMIN
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Credential | DDS
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Telephone | 212-795-9675
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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 | 050344
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License Number State | NY
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