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General NPI Number Information
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NPI Number | 1629459763
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Entity Type | Organization
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Legal Business Name | PATRICK J. SCIORTINO D.D.S., P.C.
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 06/19/2015
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Provider Practice Location Address
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Address Line | 459- BAY RIDGE PARKWAY
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City | BROOKLYN
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State | NY
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Zip | 11209-2701
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Country | US
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Telephone | 718-748-1123
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Fax | 718-748-3673
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Provider Business Mailing Address
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Address Line | 459- BAY RIDGE PARKWAY
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City | BROOKLYN
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State | NY
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Zip | 11209-2701
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Country | US
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Telephone | 718-748-1123
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Fax | 718-748-3673
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | PATRICK J. SCIORTINO
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Credential | DDS PC.
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Telephone | 718-748-1123
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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 | 032913-1
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License Number State | NY
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