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General NPI Number Information
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NPI Number | 1174390892
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Entity Type | Organization
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Legal Business Name | ANVERY ORTHODONTICS PLLC
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 66 MAIN ST UNIT B
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City | YONKERS
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State | NY
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Zip | 10701-2772
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Country | US
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Telephone | 914-510-2249
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Fax |
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Provider Business Mailing Address
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Address Line | 57 E 97TH ST APT 12A
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City | NEW YORK
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State | NY
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Zip | 10029-7051
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | SARAH ANVERY
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Credential | DDS
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Telephone | 845-920-6514
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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 |
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License Number State |
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