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NPI 1346539210

NPI 1346539210 : DRS. SELTZER AND REIN : WILLISTON PARK, NY

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General NPI Number Information
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    NPI Number           |    1346539210
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    Entity Type          |    Organization 
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    Legal Business Name  |    DRS. SELTZER AND REIN 
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Dates
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    Enumeration Date     |    03/31/2011
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    Last Update Date     |    05/03/2011
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Provider Practice Location Address
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    Address Line         |    101 HILLSIDE AVE SUITE A
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    City                 |    WILLISTON PARK
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    State                |    NY
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    Zip                  |    11596-2310
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    Country              |    US
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    Telephone            |    516-741-6202
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 HILLSIDE AVE SUITE A
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    City                 |    WILLISTON PARK
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    State                |    NY
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    Zip                  |    11596-2310
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PARTNER
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    Name                 |    DR. JEFFREY S REIN 
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    Credential           |    DDS
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    Telephone            |    516-741-6202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    036719
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    License Number State |    NY
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