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General NPI Number Information
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NPI Number | 1548250624
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Entity Type | Individual
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Provider Name | ETTA JOYCE LOBEL DMD
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Gender | Female
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15 PLEASANTVILLE RD
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City | OSSINING
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State | NY
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Zip | 10562-4434
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Country | US
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Telephone | 914-941-2200
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Fax | 914-941-5174
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Provider Business Mailing Address
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Address Line | 15 PLEASANTVILLE RD
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City | OSSINING
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State | NY
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Zip | 10562-4434
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Country | US
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Telephone | 914-941-2200
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Fax | 914-941-5174
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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 | 0399661
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License Number State | NY
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