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General NPI Number Information
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NPI Number | 1205060571
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Entity Type | Organization
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Legal Business Name | HUDSONVALLEYFAMILYDENTALSERVICES,P.C.
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 1363 ROUTE 9G
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City | HYDE PARK
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State | NY
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Zip | 12538-2162
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Country | US
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Telephone | 845-229-2177
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Fax | 845-229-2178
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Provider Business Mailing Address
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Address Line | 1363 ROUTE 9G
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City | HYDE PARK
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State | NY
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Zip | 12538-2162
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Country | US
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Telephone | 845-229-2177
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Fax | 845-229-2178
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DIPTI H PATEL
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Credential | D.D.S.
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Telephone | 845-229-2177
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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 | NY39894
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License Number State | NY
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