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General NPI Number Information
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NPI Number | 1417019373
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Entity Type | Individual
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Provider Name | SHARLA SEUNARINE
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 101-39 123 STREET
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City | RICHMOND HILL
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State | NY
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Zip | 11419
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Country | US
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Telephone | 716-553-1578
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Fax |
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Provider Business Mailing Address
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Address Line | 10139 123RD ST
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-2123
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Country | US
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Telephone | 718-850-7249
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 053394
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License Number State | NY
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