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General NPI Number Information
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NPI Number | 1598013393
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Entity Type | Organization
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Legal Business Name | FALGUNI DENTAL PLLC
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Dates
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Enumeration Date | 08/27/2012
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 563 W 169TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3912
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Country | US
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Telephone | 212-923-3376
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Fax | 646-253-1270
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Provider Business Mailing Address
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Address Line | 563 W 169TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3912
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Country | US
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Telephone | 212-923-3376
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Fax | 646-253-1270
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Authorized Official
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Title or Position | OWNER
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Name | DR. FALGUNI PATEL
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Credential | D.D.S.
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Telephone | 212-923-3376
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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 | 050260
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License Number State | NY
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