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General NPI Number Information
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NPI Number | 1588303192
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Entity Type | Individual
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Provider Name | DEVYN FLEISCHHACKER DDS
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 1476 DEER PARK AVE STE 1200
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City | NORTH BABYLON
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State | NY
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Zip | 11703-1200
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Country | US
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Telephone | 631-254-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 25 S OYSTER BAY RD
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City | SYOSSET
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State | NY
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Zip | 11791-5002
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Country | US
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Telephone | 516-365-5439
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0442000449
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License Number State | VA
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Taxonomy #2
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 064218
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License Number State | NY
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