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General NPI Number Information
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NPI Number | 1427175967
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Entity Type | Organization
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Legal Business Name | BENSONHURST DENTAL CARE
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1872 80TH ST
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City | BROOKLYN
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State | NY
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Zip | 11214-1714
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Country | US
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Telephone | 718-234-3434
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Fax | 718-234-3496
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Provider Business Mailing Address
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Address Line | 1872 80TH ST
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City | BROOKLYN
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State | NY
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Zip | 11214-1714
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Country | US
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Telephone | 718-234-3434
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Fax | 718-234-3496
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MARINA RUBINSHTEIN
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Credential | D.D.S
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Telephone | 718-234-3434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | NY
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