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General NPI Number Information
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NPI Number | 1245643584
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Entity Type | Organization
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Legal Business Name | NEW YORK UNIVERSITY, COLLEGE OF DENTISTRY
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 345 E 24TH ST 9W
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 212-998-9435
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Fax |
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Provider Business Mailing Address
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Address Line | 345 E 24TH ST 9W
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 212-998-9435
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. AMR M. MOURSI
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Credential | D.D.S., PH.D.
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Telephone | 212-998-9435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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