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General NPI Number Information
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NPI Number | 1265129837
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Entity Type | Organization
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Legal Business Name | ANA SUAREZ TIBURCIO DENTIST PLLC
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 1825 COMMERCE ST FL 2
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4432
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Country | US
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Telephone | 914-230-0552
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 COMMERCE ST FL 2
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4432
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Country | US
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Telephone | 914-230-0552
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANA SUAREZ -TIBURCIO
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Credential |
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Telephone | 914-230-0552
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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 |
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License Number State |
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