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NPI 1275891830

NPI 1275891830 : DAVID KRONER D.D.S. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1275891830
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID KRONER D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/01/2012
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    Last Update Date     |    06/20/2014
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Provider Practice Location Address
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    Address Line         |    30 EAST 40TH ST. SUITE #702
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10016
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    Country              |    US
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    Telephone            |    917-859-6904
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    102-30 QUEENS BLVD APT. 4K
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    City                 |    FOREST HILLS
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    State                |    NY
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    Zip                  |    11375
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    Country              |    US
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    Telephone            |    917-859-6904
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    056910
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    License Number State |    NY
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