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General NPI Number Information
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NPI Number | 1508576067
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Entity Type | Individual
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Provider Name | ROBERT VICTOR SRETER DDS
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Gender | Male
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Dates
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Enumeration Date | 11/24/2022
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Last Update Date | 11/24/2022
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Provider Practice Location Address
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Address Line | 141 FRANKLIN PL STE A
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City | WOODMERE
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State | NY
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Zip | 11598-1244
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Country | US
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Telephone | 516-374-2883
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Fax |
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Provider Business Mailing Address
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Address Line | 27 KEREN HAYESOD
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City | JERUSALEM
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State | JERUSALEM
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Zip | 94188
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Country | IL
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Telephone |
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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 | 033236
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License Number State | NY
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