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General NPI Number Information
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NPI Number | 1447653514
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Entity Type | Organization
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Legal Business Name | MANHATTAN BRIDGE ORTHODONTICS
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Dates
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Enumeration Date | 10/03/2014
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Last Update Date | 10/03/2014
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Provider Practice Location Address
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Address Line | 145 CANAL ST 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10002-5033
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Country | US
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Telephone | 212-274-0477
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Fax | 212-274-0499
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Provider Business Mailing Address
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Address Line | 145 CANAL ST 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10002-5033
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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 | ORTHODONTIST
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Name | DR. JENNY ZHU
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Credential | DDS
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Telephone | 212-274-0477
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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 | 51371
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License Number State | NY
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