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General NPI Number Information
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NPI Number | 1609025808
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Entity Type | Organization
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Legal Business Name | ROBERT E. ZEITLIN,D.D.S.,P.C.
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 1603 VOORHIES AVE 1ST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11235-3959
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Country | US
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Telephone | 718-332-1778
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Fax | 718-332-5816
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Provider Business Mailing Address
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Address Line | 1603 VOORHIES AVE 1ST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11235-3959
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Country | US
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Telephone | 718-332-1778
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Fax | 718-332-5816
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ROBERT E. ZEITLIN
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Credential | D.D.S.
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Telephone | 718-332-1778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number | 031799
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License Number State | NY
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