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General NPI Number Information
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NPI Number | 1538512207
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Entity Type | Organization
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Legal Business Name | BH FRANKLIN DENTAL PLLC
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 405 FRANKLIN AVE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-1227
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Country | US
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Telephone | 516-233-1227
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Fax | 516-233-1229
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Provider Business Mailing Address
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Address Line | 405 FRANKLIN AVE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-1227
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Country | US
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Telephone | 516-233-1227
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Fax | 516-233-1229
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NINA BABAYEV
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Credential | DDS
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Telephone | 347-332-9465
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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 | 056364
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License Number State | NY
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