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General NPI Number Information
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NPI Number | 1558742916
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Entity Type | Organization
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Legal Business Name | DR ASHER DIAMOND DDS PLLC
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 2983 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572
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Country | US
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Telephone | 516-778-9296
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Fax |
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Provider Business Mailing Address
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Address Line | 2983 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-3204
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Country | US
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Telephone | 516-778-9296
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHER DIAMOND
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Credential | DDS
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Telephone | 516-437-0249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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