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General NPI Number Information
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NPI Number | 1588249452
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Entity Type | Individual
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Provider Name | SARA SINTAO GREENE DDS
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Gender | Female
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 173 FISHER AVE
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City | EASTCHESTER
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State | NY
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Zip | 10709-2605
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Country | US
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Telephone | 914-779-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 173 FISHER AVE
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City | EASTCHESTER
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State | NY
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Zip | 10709-2605
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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 |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22DI03063500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 105043
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 13095
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 064274
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License Number State | NY
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