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General NPI Number Information
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NPI Number | 1487320024
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Entity Type | Organization
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Legal Business Name | YISROLE NOSKOW DMD PALM CITY PA
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 1151 SW 30TH ST STE C
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City | PALM CITY
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State | FL
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Zip | 34990-2985
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Country | US
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Telephone | 772-409-6772
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Fax |
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Provider Business Mailing Address
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Address Line | 990 SE 7TH AVE
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City | POMPANO BEACH
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State | FL
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Zip | 33060-9506
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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 | DR
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Name | DR. YISROEL NOSKOW
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Credential | DMD
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Telephone | 772-409-6772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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