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General NPI Number Information
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NPI Number | 1336018183
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Entity Type | Organization
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Legal Business Name | TRU SMILES DENTAL OF HUNTINGTON PLLC
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 205 E MAIN ST STE 1-1
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City | HUNTINGTON
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State | NY
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Zip | 11743-7934
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Country | US
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Telephone | 631-421-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 205 E MAIN ST STE 1-1
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City | HUNTINGTON
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State | NY
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Zip | 11743-7934
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Country | US
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Telephone | 631-421-1818
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RADMILA SHUMINOV
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Credential |
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Telephone | 631-421-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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