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General NPI Number Information
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NPI Number | 1407393424
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Entity Type | Individual
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Provider Name | THOMAS FUSCHETTO DDS
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Gender | Male
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Dates
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Enumeration Date | 01/28/2017
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 33 CEDAR ST STE 1
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City | RYE
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State | NY
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Zip | 10580-2031
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Country | US
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Telephone | 914-967-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 170 ELDRIDGE AVE
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City | YONKERS
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State | NY
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Zip | 10701-5003
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Country | US
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Telephone | 914-804-4940
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 061271
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License Number State | NY
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