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General NPI Number Information
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NPI Number | 1649450685
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Entity Type | Individual
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Provider Name | WILLIAM E KURYLO DMD
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Gender | Male
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 39 WOODCLIFF AVE
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City | WOODCLIFF LAKE
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State | NJ
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Zip | 07677
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Country | US
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Telephone | 201-573-0430
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Fax | 201-573-0471
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Provider Business Mailing Address
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Address Line | 39 WOODCLIFF AVE
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City | WOODCLIFF LAKE
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State | NJ
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Zip | 07677
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Country | US
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Telephone | 201-573-0430
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Fax | 201-573-0471
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10030
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License Number State | NJ
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