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General NPI Number Information
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NPI Number | 1447236971
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Entity Type | Organization
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Legal Business Name | BARRY NOSKOW DDS, PC
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 5824 14TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11219-4623
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Country | US
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Telephone | 718-438-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 1303 53RD ST # 139
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City | BROOKLYN
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State | NY
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Zip | 11219-3823
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Country | US
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Telephone | 718-438-8400
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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. BARRY NOSKOW
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Credential | D.D.S.
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Telephone | 718-435-3522
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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 | 028971
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License Number State | NY
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