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General NPI Number Information
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NPI Number | 1568962793
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Entity Type | Organization
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Legal Business Name | DR. JOSHUA BRATT DMD PC
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 143 N LONG BEACH RD STE 3
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4438
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Country | US
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Telephone | 516-764-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 143 N LONG BEACH RD STE 3
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4438
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Country | US
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Telephone | 516-764-7333
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSHUA BRATT
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Credential | DMD
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Telephone | 561-764-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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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