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General NPI Number Information
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NPI Number | 1497281422
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Entity Type | Organization
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Legal Business Name | TANU PRAKASH DENTAL SERVICES, PC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 12/14/2017
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Provider Practice Location Address
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Address Line | 2090 7TH AVE DENTAL STOREFRONT BEST DENTAL CARE NY
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City | NEW YORK
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State | NY
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Zip | 10027-4990
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Country | US
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Telephone | 212-749-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 2090 7TH AVE DENTAL STOREFRONT BEST DENTAL CARE NY
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City | NEW YORK
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State | NY
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Zip | 10027-4990
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Country | US
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Telephone | 212-749-2222
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MRS. TANU PRAKASH
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Credential | DDS
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Telephone | 212-749-2222
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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 | 054540
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License Number State | NY
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