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General NPI Number Information
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NPI Number | 1487450789
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Entity Type | Organization
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Legal Business Name | EISENBERGER AND ADLER ORTHODONTICS PLLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 414 ROUTE 59 STE 5
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City | AIRMONT
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State | NY
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Zip | 10952-3534
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Country | US
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Telephone | 845-678-3306
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Fax |
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Provider Business Mailing Address
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Address Line | 414 ROUTE 59 STE 5
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City | AIRMONT
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State | NY
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Zip | 10952-3534
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Country | US
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Telephone | 845-678-3306
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | RAM RAMPRASAD
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Credential |
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Telephone | 718-844-8943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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