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General NPI Number Information
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NPI Number | 1427641810
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Entity Type | Organization
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Legal Business Name | ARBOR: A DENTAL CONCEPT, PLLC
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 2727 44TH DR
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-2930
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Country | US
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Telephone | 919-455-3815
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 44TH DR
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-2930
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN YANG LIN
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Credential | DMD
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Telephone | 919-455-3815
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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 |
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License Number State |
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