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General NPI Number Information
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NPI Number | 1477808616
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Entity Type | Organization
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Legal Business Name | DR DANIEL ZEDEKER
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 18 ASHFORD AVE SUITE MM
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City | DOBBS FERRY
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State | NY
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Zip | 10522-1823
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Country | US
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Telephone | 914-693-6656
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Fax |
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Provider Business Mailing Address
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Address Line | 18 ASHFORD AVE SUITE MM
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City | DOBBS FERRY
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State | NY
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Zip | 10522-1823
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Country | US
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Telephone | 914-693-6656
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Fax |
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Authorized Official
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Title or Position | QWNER
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Name | DR. DANIEL ZEDEKER
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Credential | DDS
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Telephone | 914-693-6656
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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 | 1-37965
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License Number State | NY
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