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General NPI Number Information
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NPI Number | 1386629020
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Entity Type | Organization
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Legal Business Name | VANDLIK, FURINO, AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 280 MAIN ST
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City | EAST HAVEN
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State | CT
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Zip | 06512
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Country | US
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Telephone | 203-466-2273
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Fax | 203-907-0244
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Provider Business Mailing Address
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Address Line | 280 MAIN ST
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City | EAST HAVEN
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State | CT
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Zip | 06512
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Country | US
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Telephone | 203-466-2273
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Fax | 203-907-0244
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | SARA MARIE FURINO
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Credential | DMD
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Telephone | 203-466-2273
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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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