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General NPI Number Information
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NPI Number | 1558524124
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Entity Type | Organization
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Legal Business Name | AMERICAN BEST DENTAL PC
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 4305 48TH AVE
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City | WOODSIDE
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State | NY
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Zip | 11377-6241
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Country | US
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Telephone | 718-729-3334
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Fax |
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Provider Business Mailing Address
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Address Line | 4305 48TH AVE
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City | WOODSIDE
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State | NY
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Zip | 11377-6241
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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 | OWNER
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Name | AHMED NOURELDEEN
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Credential |
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Telephone | 718-729-3334
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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 | 042607
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License Number State | NY
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