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General NPI Number Information
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NPI Number | 1437209152
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Entity Type | Organization
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Legal Business Name | RED APPLE DENTAL, P.C.
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2711 ALBANY POST RD
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City | MONTGOMERY
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State | NY
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Zip | 12549-2158
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Country | US
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Telephone | 845-457-1647
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Fax | 845-818-3921
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Provider Business Mailing Address
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Address Line | 2711 ALBANY POST RD
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City | MONTGOMERY
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State | NY
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Zip | 12549-2158
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Country | US
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Telephone | 845-457-1647
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Fax | 845-818-3921
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Authorized Official
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Title or Position | DENTIST
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Name | DR. GREGORY T MCMAHON
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Credential | DDS
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Telephone | 845-457-1647
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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 | 043245
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License Number State | NY
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