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General NPI Number Information
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NPI Number | 1346546892
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Entity Type | Organization
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Legal Business Name | ANGELINA G. RICAFRENTE, DMD PC
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 128 CENTRAL PARK SOUTH SUITE 1-B
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone | 212-586-5250
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Fax |
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Provider Business Mailing Address
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Address Line | 128 CENTRAL PARK SOUTH
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone | 212-586-5250
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Fax |
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | ANGELINA G. RICAFRENTE
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Credential | DMD
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Telephone | 212-586-5250
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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 | 30620
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License Number State | NY
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