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General NPI Number Information
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NPI Number | 1477923589
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Entity Type | Organization
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Legal Business Name | GUERRINO DENTISTRY OF HARTSDALE, PC
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Dates
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Enumeration Date | 10/01/2015
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 227 N CENTRAL AVE
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City | HARTSDALE
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State | NY
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Zip | 10530-1803
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Country | US
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Telephone | 914-358-5700
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Fax | 914-428-4152
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Provider Business Mailing Address
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Address Line | 227 N CENTRAL AVE
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City | HARTSDALE
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State | NY
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Zip | 10530-1803
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Country | US
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Telephone | 914-358-5700
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Fax | 914-428-4152
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Authorized Official
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Title or Position | OWNER
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Name | PAUL J GUERRINO
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Credential |
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Telephone | 914-420-7083
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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 | 040460
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License Number State | NY
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