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General NPI Number Information
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NPI Number | 1376753111
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Entity Type | Organization
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Legal Business Name | TIM MOZNER DDS PC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 211 CENTRAL AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10606-1100
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Country | US
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Telephone | 914-390-9111
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Fax | 914-390-9110
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Provider Business Mailing Address
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Address Line | 211 CENTRAL AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10606-1100
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Country | US
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Telephone | 914-390-9111
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Fax | 914-390-9110
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Authorized Official
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Title or Position | PREZIDENT
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Name | DR. TIMUR MOZNER
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Credential | DDS
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Telephone | 914-390-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 048393
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License Number State | NY
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