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General NPI Number Information
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NPI Number | 1588774699
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Entity Type | Organization
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Legal Business Name | ADLER DENTAL P.C.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 161 MADISON AVENUE SUITE 8 NW
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City | NEW YORK
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State | NY
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Zip | 10016-5447
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Country | US
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Telephone | 212-685-7765
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Fax | 212-685-7758
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Provider Business Mailing Address
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Address Line | 161 MADISON AVENUE SUITE 8 NW
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City | NEW YORK
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State | NY
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Zip | 10016-5447
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Country | US
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Telephone | 212-685-7765
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Fax | 212-685-7758
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | MS. ANGELIQUE PEHREE MELENDEZ
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Credential |
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Telephone | 212-685-7765
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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 | 047779
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License Number State | NY
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