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General NPI Number Information
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NPI Number | 1407395973
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Entity Type | Organization
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Legal Business Name | ZEYNEP ULKU DDS DMSC PC
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 1644 DEER PARK AVE SUITE 1
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City | DEER PARK
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State | NY
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Zip | 11729-5211
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Country | US
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Telephone | 631-992-7155
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Fax | 631-667-1872
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Provider Business Mailing Address
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Address Line | 1644 DEER PARK AVE SUITE 1
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City | DEER PARK
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State | NY
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Zip | 11729-5211
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Country | US
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Telephone | 631-992-7155
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Fax | 631-667-1872
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ROHAN H YALCINKAYA
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Credential |
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Telephone | 631-992-7155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 057836
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License Number State | NY
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