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General NPI Number Information
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NPI Number | 1275857872
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Entity Type | Individual
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Provider Name | ADAM MARK LITWIN DDS
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Gender | Male
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 101 SIXTH AVENUE BUILDING SERVICE 32BJ HEALTH FUND
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City | NEW YORK
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State | NY
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Zip | 10013
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Country | US
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Telephone | 212-388-2099
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Fax | 212-399-3156
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Provider Business Mailing Address
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Address Line | 101 SIXTH AVENUE BUILDING SERVICE 32BJ HEALTH FUND
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City | NEW YORK
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State | NY
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Zip | 10013
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Country | US
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Telephone | 212-388-2099
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Fax | 212-399-3156
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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 | 0413611
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License Number State | NY
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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 | 0413611
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License Number State | NY
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