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General NPI Number Information
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NPI Number | 1427982552
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Entity Type | Organization
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Legal Business Name | C AND A DENTAL PLLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 380 N. BROADWAY SUITE #410
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City | JERICHO
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State | NY
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Zip | 11753
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Country | US
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Telephone | 631-889-1864
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Fax |
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Provider Business Mailing Address
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Address Line | 380 N. BROADWAY SUITE #410
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City | JERICHO
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State | NY
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Zip | 11753
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Country | US
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Telephone | 631-889-1864
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER-PARTNER
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Name | RAHILA AHMED
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Credential | DDS
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Telephone | 631-889-1864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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