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NPI 1225408446

NPI 1225408446 : GUERRINO DENTISTRY OF ARMONK, PC : ARMONK, NY

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General NPI Number Information
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    NPI Number           |    1225408446
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    Entity Type          |    Organization 
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    Legal Business Name  |    GUERRINO DENTISTRY OF ARMONK, PC 
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Dates
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    Enumeration Date     |    09/30/2015
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    Last Update Date     |    09/30/2015
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Provider Practice Location Address
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    Address Line         |    1 BYRAM BROOK PL 
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    City                 |    ARMONK
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    State                |    NY
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    Zip                  |    10504-2316
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    Country              |    US
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    Telephone            |    914-765-0093
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    Fax                  |    914-765-0215
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Provider Business Mailing Address
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    Address Line         |    1 BYRAM BROOK PL 
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    City                 |    ARMONK
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    State                |    NY
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    Zip                  |    10504-2316
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    Country              |    US
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    Telephone            |    914-765-0093
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    Fax                  |    914-765-0215
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     PAUL J GUERRINO 
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    Credential           |    
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    Telephone            |    914-420-7083
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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       |    040460
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    License Number State |    NY
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