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General NPI Number Information
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NPI Number | 1376617670
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Entity Type | Organization
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Legal Business Name | DENTAL ARTS OF OCEANSIDE
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 3089 LAWSON BLVD
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City | OCEANSIDE
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State | NY
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Zip | 11572
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Country | US
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Telephone | 516-678-4500
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Fax | 516-763-2769
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Provider Business Mailing Address
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Address Line | 3089 LAWSON BLVD
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City | OCEANSIDE
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State | NY
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Zip | 11572
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Country | US
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Telephone | 516-678-4500
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Fax | 516-763-2769
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Authorized Official
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Title or Position | DENTIST
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Name | DR. HARRY RAFF
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Credential | D.M.D.
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Telephone | 516-678-4500
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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 |
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License Number State |
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