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General NPI Number Information
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NPI Number | 1225182629
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Entity Type | Organization
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Legal Business Name | FRIEDMAN MYERS & ELGORT
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 20 HICKSVILLE ROAD SUITE 8
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City | MASSAPEQUA
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State | NY
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Zip | 11758-5819
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Country | US
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Telephone | 516-798-8855
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Fax | 516-798-8859
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Provider Business Mailing Address
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Address Line | 20 HICKSVILLE ROAD SUITE 8
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City | MASSAPEQUA
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State | NY
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Zip | 11758-5819
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Country | US
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Telephone | 516-798-8855
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Fax | 516-798-8859
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Authorized Official
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Title or Position | PARTNER
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Name | DR. BARRY S MYERS
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Credential | DDS
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Telephone | 516-798-8855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 036240
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 029556
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License Number State | NY
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