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General NPI Number Information
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NPI Number | 1447614763
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Entity Type | Organization
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Legal Business Name | ALIKA L. CREW, DMD,MSD,PC
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 3755 82ND ST
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7031
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Country | US
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Telephone | 718-505-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 3755 82ND ST 2ND FLOOR
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7031
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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. ALIKA CREW
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Credential |
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Telephone | 267-258-8584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 053689
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License Number State | NY
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