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General NPI Number Information
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NPI Number | 1346438561
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Entity Type | Individual
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Provider Name | LAURENCE HYACINTHE D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 1845 ADAM CLAYTON POWELL JR BLVD STE 1
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City | NEW YORK
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State | NY
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Zip | 10026-3625
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Country | US
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Telephone | 347-292-1757
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Fax | 718-213-4957
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Provider Business Mailing Address
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Address Line | 2266 5TH AVE UNIT 1695 DENTAL DEPARTMENT - STATION 21
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City | NEW YORK
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State | NY
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Zip | 10037-9464
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Country | US
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Telephone | 347-292-1757
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Fax | 646-484-5474
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 052837
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License Number State | NY
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