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General NPI Number Information
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NPI Number | 1316908767
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Entity Type | Organization
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Legal Business Name | METROPOLITAN DENTAL ASSOCIATES DDS PC
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 12/02/2019
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Provider Practice Location Address
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Address Line | 88-01 PARSONS BLVD
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City | JAMAICA
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State | NY
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Zip | 11432-3841
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Country | US
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Telephone | 718-526-3400
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Fax | 718-523-3355
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Provider Business Mailing Address
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Address Line | 88-01 PARSONS BLVD
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City | JAMAICA
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State | NY
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Zip | 11432-3841
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Country | US
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Telephone | 718-526-3400
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Fax | 718-523-3355
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL IRVING COHEN
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Credential | DDS
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Telephone | 718-526-3400
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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 | 029752
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License Number State | NY
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