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General NPI Number Information
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NPI Number | 1487927794
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Entity Type | Individual
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Provider Name | DANIEL BUTENSKY DMD
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Gender | Male
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 154 W 14TH ST SUITE 4I
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City | NEW YORK
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State | NY
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Zip | 10011-7307
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Country | US
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Telephone | 212-777-0423
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E 56TH ST APT. 3J
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City | NEW YORK
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State | NY
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Zip | 10022-3758
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Country | US
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Telephone | 201-709-5872
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 056829
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License Number State | NY
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