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General NPI Number Information
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NPI Number | 1477767598
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Entity Type | Individual
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Provider Name | IRA A RHOME D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 27 TOWNLINE RD
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City | PEARL RIVER
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State | NY
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Zip | 10965-1235
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Country | US
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Telephone | 845-623-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 28 WHISPERING CT
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City | BARDONIA
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State | NY
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Zip | 10954-1625
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Country | US
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Telephone | 845-627-5624
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Fax | 845-627-5626
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 035307
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License Number State | NY
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