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General NPI Number Information
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NPI Number | 1285830208
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Entity Type | Individual
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Provider Name | JOSHUA STEVEN ROLNICK D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 1179 NEWBRIDGE RD
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City | N BELLMORE
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State | NY
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Zip | 11710-1650
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Country | US
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Telephone | 516-221-2271
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Fax |
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Provider Business Mailing Address
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Address Line | 1949 NORSHON RD
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City | MERRICK
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State | NY
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Zip | 11566-4628
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Country | US
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Telephone | 516-610-3822
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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 | 053945
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License Number State | NY
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