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General NPI Number Information
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NPI Number | 1609070697
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Entity Type | Organization
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Legal Business Name | TERRY J SOBLER DMD PC
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 339 N MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-4300
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Country | US
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Telephone | 845-634-3560
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Fax | 845-634-0619
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Provider Business Mailing Address
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Address Line | 339 N MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-4300
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Country | US
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Telephone | 845-634-3560
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Fax | 845-634-0619
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. TERRY J SOBLER
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Credential | DMD
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Telephone | 845-634-3560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 28330
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License Number State | NY
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