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General NPI Number Information
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NPI Number | 1508696568
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Entity Type | Organization
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Legal Business Name | D.A.N DMD LLC
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Dates
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Enumeration Date | 08/05/2024
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 130 E 35TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-3815
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Country | US
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Telephone | 404-259-7571
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Fax |
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Provider Business Mailing Address
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Address Line | 181 18TH ST PH 1102
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City | BROOKLYN
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State | NY
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Zip | 11215-7508
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DANIEL ARMIL NARAIN
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Credential | DMD
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Telephone | 404-259-7571
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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 |
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License Number State |
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