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General NPI Number Information
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NPI Number | 1407907355
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Entity Type | Individual
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Provider Name | JOEL FRANKLIN WEINTRAUB D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 789 EAST MAIN ST.
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City | MIDDLETOWN
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State | NY
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Zip | 10940-0270
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Country | US
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Telephone | 845-343-0787
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Fax | 845-343-2644
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Provider Business Mailing Address
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Address Line | 41 WHITLOCK RD
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City | OTISVILLE
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State | NY
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Zip | 10963-3500
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Country | US
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Telephone | 845-386-3395
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 027969
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License Number State | NY
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