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General NPI Number Information
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NPI Number | 1619024031
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Entity Type | Individual
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Provider Name | ERIKA N FAUST D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 119 W 57TH ST STE. 512
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City | NEW YORK
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State | NY
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Zip | 10019-2303
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Country | US
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Telephone | 212-262-2948
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Fax | 212-262-4047
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Provider Business Mailing Address
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Address Line | 474 48TH AVE APT. 38E
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City | LONG ISLAND CITY
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State | NY
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Zip | 11109-5600
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Country | US
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Telephone | 646-872-3508
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Fax | 718-606-0161
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 051056
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License Number State | NY
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