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General NPI Number Information
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NPI Number | 1225428337
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Entity Type | Organization
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Legal Business Name | DENTAL CENTER MANAGEMENT INC
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 12 MARBLE AVE
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City | THORNWOOD
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State | NY
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Zip | 10594-1073
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Country | US
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Telephone | 914-773-1500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-0007
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Country | US
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Telephone | 914-773-1500
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MYLES L. SOKOLOF
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Credential |
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Telephone | 914-773-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30382
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License Number State | NY
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