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General NPI Number Information
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NPI Number | 1649088543
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Entity Type | Organization
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Legal Business Name | DR. JERRY H ASHRAFI DMD MA PLLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 180 W END AVE APT 1D
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City | NEW YORK
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State | NY
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Zip | 10023-4917
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Country | US
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Telephone | 212-362-5517
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Fax | 212-787-9588
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Provider Business Mailing Address
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Address Line | 180 W END AVE APT 1D
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City | NEW YORK
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State | NY
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Zip | 10023-4917
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Country | US
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Telephone | 212-362-5517
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Fax | 212-787-9588
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Authorized Official
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Title or Position | OWNER
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Name | JERRY ASHRAFI
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Credential |
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Telephone | 212-362-5517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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