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General NPI Number Information
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NPI Number | 1316110612
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Entity Type | Organization
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Legal Business Name | MICHAEL LOZMAN, DDS, PC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 17 JOHNSON RD
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City | LATHAM
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State | NY
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Zip | 12110-5614
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Country | US
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Telephone | 518-785-9441
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Fax | 518-785-9430
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Provider Business Mailing Address
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Address Line | 17 JOHNSON RD
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City | LATHAM
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State | NY
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Zip | 12110-5614
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Country | US
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Telephone | 518-785-9441
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Fax | 518-785-9430
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL LOZMAN
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Credential | DDS
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Telephone | 518-785-9441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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