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General NPI Number Information
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NPI Number | 1346598612
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Entity Type | Individual
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Provider Name | STEVEN NADLER DDS
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Gender | Male
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Dates
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Enumeration Date | 08/16/2012
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Last Update Date | 08/16/2012
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Provider Practice Location Address
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Address Line | 1701 SUNRISE HWY
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City | BAY SHORE
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State | NY
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Zip | 11706-6091
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Country | US
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Telephone | 631-666-1440
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Fax |
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Provider Business Mailing Address
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Address Line | 7133 147TH ST
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City | FLUSHING
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State | NY
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Zip | 11367-2016
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Country | US
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Telephone | 917-744-1952
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Fax | 718-263-2336
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 056213
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License Number State | NY
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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 | 22DI02503300
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License Number State | NJ
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