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General NPI Number Information
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NPI Number | 1255235503
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Entity Type | Organization
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Legal Business Name | LEWIS COUNTY ORTHODONTICS
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 1851 ADAM CLAYTON POWELL JR BLVD
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City | NEW YORK
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State | NY
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Zip | 10026-3634
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Country | US
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Telephone | 212-866-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 1851 ADAM CLAYTON POWELL JR BLVD
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City | NEW YORK
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State | NY
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Zip | 10026-3634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NIMESH PATEL
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Credential | DMD
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Telephone | 513-975-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | NULL
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