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General NPI Number Information
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NPI Number | 1205299518
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Entity Type | Organization
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Legal Business Name | SMILE IN THE CITY DENTAL GROUP
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 110 E 40TH ST RM 200 SUITE 200
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City | NEW YORK
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State | NY
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Zip | 10016-1801
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Country | US
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Telephone | 212-684-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 110 E 40TH ST RM 200 SUITE 200
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City | NEW YORK
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State | NY
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Zip | 10016-1801
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Country | US
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Telephone | 212-684-2900
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Fax |
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Authorized Official
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Title or Position | PROSTHODONTIST
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Name | DR. NARGIZ SCHMIDT
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Credential |
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Telephone | 212-684-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 292200000X
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Taxonomy Name | Dental Laboratory
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License Number | 048678
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License Number State | NY
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