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General NPI Number Information
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NPI Number | 1639318629
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Entity Type | Organization
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Legal Business Name | RIFKIN DENTAL GROUP
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 02/13/2009
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Provider Practice Location Address
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Address Line | 200 VETERANS RD SUITE 9
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4130
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Country | US
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Telephone | 914-962-2277
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Fax | 914-845-0711
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Provider Business Mailing Address
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Address Line | 200 VETERANS RD SUITE 9
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4130
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Country | US
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Telephone | 914-962-2277
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Fax | 914-845-0711
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD A RIFKIN
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Credential | DMD
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Telephone | 914-962-2277
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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 | 039409
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License Number State | NY
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