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General NPI Number Information
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NPI Number | 1568644748
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Entity Type | Organization
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Legal Business Name | DAVID M. DINES, M.D.,P.C.
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 935 NORTHERN BLVD SUITE 303
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City | GREAT NECK
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State | NY
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Zip | 11021-5316
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Country | US
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Telephone | 516-482-1037
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Fax |
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Provider Business Mailing Address
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Address Line | 935 NORTHERN BLVD SUITE 303
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City | GREAT NECK
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State | NY
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Zip | 11021-5316
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Country | US
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Telephone | 516-482-1037
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARY JEAN LOGAN
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Credential |
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Telephone | 516-482-1037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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