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NPI 1598731184

NPI 1598731184 : DANIELLE M DANZI DDS : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1598731184
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    Entity Type          |    Individual 
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    Provider Name        |    DANIELLE M DANZI DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/24/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    150 BROADWAY SUITE 1310
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10038-4381
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    Country              |    US
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    Telephone            |    212-587-0202
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    Fax                  |    212-587-8829
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Provider Business Mailing Address
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    Address Line         |    301 E 38TH ST APT 5C
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10016-2750
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    Country              |    US
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    Telephone            |    646-387-8120
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DEN02840
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    License Number State |    RI
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