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General NPI Number Information
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NPI Number | 1548509987
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Entity Type | Individual
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Provider Name | TAKANORI SUZUKI D.D.S., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 345 E 24TH ST SUITE 3W
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 212-998-9992
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Fax | 212-995-4289
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Provider Business Mailing Address
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Address Line | 885 6TH AVE APT-45-D
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 917-587-0415
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Fax | 212-995-4289
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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 | 000035-1
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License Number State | NY
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