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General NPI Number Information
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NPI Number | 1356420699
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Entity Type | Individual
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Provider Name | SANFORD DUBNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 410 LAKEVILLE RD SUITE 310
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1101
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Country | US
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Telephone | 516-437-1311
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Fax | 516-437-1212
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Provider Business Mailing Address
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Address Line | 410 LAKEVILLE RD SUITE 310
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1101
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Country | US
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Telephone | 516-437-1311
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Fax | 516-437-1212
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 155919
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License Number State | NY
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