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General NPI Number Information
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NPI Number | 1588676431
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Entity Type | Individual
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Provider Name | DAVID STUART HERSHKOWITZ D.M.D
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 22424 UNION TPKE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3650
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Country | US
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Telephone | 718-468-3434
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Fax | 718-465-7576
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Provider Business Mailing Address
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Address Line | 23 RANGE DR
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City | MERRICK
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State | NY
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Zip | 11566-3234
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Country | US
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Telephone | 516-456-5418
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Fax | 718-465-7576
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 35378
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License Number State | NY
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