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General NPI Number Information
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NPI Number | 1366421349
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Entity Type | Organization
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Legal Business Name | DRS KETAY & SCHAAP
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 509 MADISON AVE STE 1704
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-688-3255
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Fax | 212-758-9132
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Provider Business Mailing Address
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Address Line | 509 MADISON AVE STE 1704
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-688-3255
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Fax | 212-758-9132
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Authorized Official
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Title or Position | PARTNER
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Name | DR. KENNETH R KETAY
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Credential | DMD
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Telephone | 212-688-3255
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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 |
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License Number State |
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