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General NPI Number Information
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NPI Number | 1194095844
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Entity Type | Organization
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Legal Business Name | HELEN WEINBERG ORTHO GROUP DDS PLLC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 159 JEFFERSON HTS
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City | CATSKILL
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State | NY
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Zip | 12414-1237
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Country | US
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Telephone | 518-344-1754
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Fax | 518-529-5474
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Provider Business Mailing Address
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Address Line | 29 N AIRMONT RD STE 22
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City | SUFFERN
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State | NY
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Zip | 10901-4242
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Country | US
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Telephone | 845-369-3703
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Fax | 845-369-3188
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Authorized Official
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Title or Position | OWNER
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Name | DR. HELEN WEINBERG
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Credential | DDS
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Telephone | 917-579-8577
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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 | 051385
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License Number State | NY
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