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General NPI Number Information
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NPI Number | 1316041346
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Entity Type | Individual
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Provider Name | LAWRENCE ALAN POPKIN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 73 GLEN COVE RD
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City | GREENVALE
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State | NY
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Zip | 11548-1007
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Country | US
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Telephone | 516-621-2225
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Fax | 516-621-7596
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Provider Business Mailing Address
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Address Line | 73 GLEN COVE RD
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City | GREENVALE
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State | NY
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Zip | 11548-1007
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Country | US
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Telephone | 516-621-2225
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Fax | 516-621-7596
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 031941
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License Number State | NY
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