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General NPI Number Information
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NPI Number | 1376341420
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Entity Type | Individual
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Provider Name | DARY KORNG
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 30 S BROADWAY FL 2
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City | YONKERS
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State | NY
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Zip | 10701-3708
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Country | US
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Telephone | 914-968-4898
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Fax |
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Provider Business Mailing Address
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Address Line | 448 W 258TH ST
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City | BRONX
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State | NY
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Zip | 10471-2102
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Country | US
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Telephone | 646-764-6505
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Fax |
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 030394
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License Number State | NY
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