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General NPI Number Information
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NPI Number | 1487774006
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Entity Type | Organization
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Legal Business Name | NIHON SHIKA GROUP
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 36 W 44TH ST STE 905
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City | NEW YORK
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State | NY
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Zip | 10036-8104
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Country | US
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Telephone | 212-768-2928
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Fax |
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Provider Business Mailing Address
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Address Line | 2460 LEMOINE AVE FL 4
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City | FORT LEE
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State | NJ
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Zip | 07024-6231
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Country | US
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Telephone | 201-461-0618
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY BELOK
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Credential | D.D.S.,M.P.H.
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Telephone | 212-768-2928
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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 | 029042
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License Number State | NY
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