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General NPI Number Information
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NPI Number | 1306382346
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Entity Type | Individual
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Provider Name | KIM ATTANASI RDH, MS
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Gender | Female
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Dates
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Enumeration Date | 01/15/2017
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Last Update Date | 01/15/2017
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Provider Practice Location Address
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Address Line | 345 E 24TH ST 6
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 212-998-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 377 SLEIGHT AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10307-1925
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Country | US
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Telephone | 718-356-3231
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 018893
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 22H100568100
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License Number State | NJ
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