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General NPI Number Information
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NPI Number | 1619075827
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Entity Type | Organization
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Legal Business Name | RICHARD M. RICHMAN D.D.S , P.C.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 165 N VILLAGE AVE SUITE 12
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3761
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Country | US
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Telephone | 516-594-2111
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Fax | 516-594-2581
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Provider Business Mailing Address
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Address Line | 165 N VILLAGE AVE SUITE 12
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3761
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Country | US
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Telephone | 516-594-2111
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Fax | 516-594-2581
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RICHARD MARC RICHMAN
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Credential | D.D.S.
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Telephone | 516-594-2111
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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 | 046107-1
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License Number State | NY
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