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General NPI Number Information
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NPI Number | 1477686293
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Entity Type | Organization
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Legal Business Name | DAVID L HOEXTER DMD PC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 635 MADISON AVENUE SUITE 1200
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-355-0004
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Fax | 212-688-2966
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Provider Business Mailing Address
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Address Line | 635 MADISON AVENUE SUITE 1200
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-355-0004
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Fax | 212-688-2966
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID L HOEXTER
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Credential | DMD
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Telephone | 312-355-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 0244911
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License Number State | NY
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