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General NPI Number Information
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NPI Number | 1255627576
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Entity Type | Individual
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Provider Name | FRANK BOTTINO D.M.D
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Gender | Male
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Dates
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Enumeration Date | 06/24/2011
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 195 N BEDFORD RD STE 7
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City | MOUNT KISCO
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State | NY
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Zip | 10549-1149
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Country | US
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Telephone | 914-241-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 195 N BEDFORD RD STE 7
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City | MOUNT KISCO
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State | NY
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Zip | 10549-1149
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Country | US
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Telephone | 914-241-5555
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 011185
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02471200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 057238-1
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License Number State | NY
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