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General NPI Number Information
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NPI Number | 1184972283
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Entity Type | Individual
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Provider Name | BILLIE R ZOLDAN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 393 W END AVE APT 10C
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City | NEW YORK
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State | NY
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Zip | 10024-6138
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Country | US
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Telephone | 516-297-4794
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Fax |
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Provider Business Mailing Address
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Address Line | 393 W END AVE APT 10C
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City | NEW YORK
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State | NY
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Zip | 10024-6138
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Country | US
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Telephone | 516-297-4794
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0563211
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License Number State | NY
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