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General NPI Number Information
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NPI Number | 1518129899
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Entity Type | Organization
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Legal Business Name | SKYLINE DENTAL, P.C.
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 144 CHAMBERS ST
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City | NEW YORK
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State | NY
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Zip | 10007-1228
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Country | US
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Telephone | 212-608-2487
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Fax |
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Provider Business Mailing Address
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Address Line | 17 BATTERY PL STE 205
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City | NEW YORK
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State | NY
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Zip | 10004-1151
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Country | US
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Telephone | 212-825-0943
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD PHILIP NADEL
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Credential | DDS
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Telephone | 954-822-9222
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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 | 0370592
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License Number State | NY
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