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General NPI Number Information
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NPI Number | 1174538599
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Entity Type | Organization
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Legal Business Name | PRATAB DENTAL PC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 BURBANK ST APT 1B
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City | YONKERS
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State | NY
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Zip | 10710-6125
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Country | US
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Telephone | 914-779-2090
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Fax | 914-771-5992
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Provider Business Mailing Address
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Address Line | 1 BURBANK ST APT 1B
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City | YONKERS
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State | NY
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Zip | 10710-6125
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Country | US
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Telephone | 914-779-2090
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Fax | 914-771-5992
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BHUPINDER SINGH SACHAR
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Credential | D.M.D.
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Telephone | 914-779-2090
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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 | 050238
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License Number State | NY
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