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General NPI Number Information
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NPI Number | 1285825349
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Entity Type | Individual
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Provider Name | DANIEL ORESTE PROTO DDS
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 24 E PEARL ST
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City | WELLSVILLE
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State | NY
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Zip | 14895-1134
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Country | US
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Telephone | 585-593-1570
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Fax | 585-593-1570
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Provider Business Mailing Address
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Address Line | 418 W STATE ST
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City | OLEAN
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State | NY
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Zip | 14760-2542
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Country | US
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Telephone | 716-373-2626
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Fax | 716-373-2626
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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 | 032877-2
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License Number State | NY
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