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General NPI Number Information
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NPI Number | 1194073635
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Entity Type | Individual
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Provider Name | EDWARD ZERBO DDS
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Gender | Male
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 785 W MONTAUK HWY
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City | WEST BABYLON
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State | NY
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Zip | 11704-8219
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Country | US
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Telephone | 631-587-7373
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Fax | 631-587-7398
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Provider Business Mailing Address
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Address Line | 785 W MONTAUK HWY
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City | WEST BABYLON
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State | NY
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Zip | 11704-8219
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Country | US
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Telephone | 631-587-7373
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Fax | 631-587-7398
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 056116-1
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License Number State | NY
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