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General NPI Number Information
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NPI Number | 1396875175
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Entity Type | Individual
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Provider Name | PAUL H CASSIS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 900 MERCHANTS CONCOURSE SUITE LL8
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City | WESTBURY
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State | NY
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Zip | 11590-5142
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Country | US
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Telephone | 516-683-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 47 BAYBERRY AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-1727
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Country | US
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Telephone | 516-683-9100
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 35657
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License Number State | NY
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