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General NPI Number Information
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NPI Number | 1558687681
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Entity Type | Individual
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Provider Name | CARL A. MEESE D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 133 EAST 58TH ST STE 414 CARL A. MEESE, D.D.S.
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-819-0965
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Fax | 212-819-0966
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Provider Business Mailing Address
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Address Line | 133 EAST 58TH ST STE 414 CARL A. MEESE, D.D.S.
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-819-0965
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Fax | 212-819-0966
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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 | 029167
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License Number State | NY
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