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General NPI Number Information
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NPI Number | 1164794764
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Entity Type | Organization
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Legal Business Name | DENTAL EMERGENCY CARE OF LONG ISLAND, PC
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 400 JERICHO TPKE
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City | SYOSSET
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State | NY
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Zip | 11791-4509
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Country | US
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Telephone | 516-348-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 400 JERICHO TPKE
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City | SYOSSET
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State | NY
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Zip | 11791-4509
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Country | US
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Telephone | 516-348-2000
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ERIC WEINSTEIN
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Credential |
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Telephone | 516-348-2000
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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 |
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License Number State |
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