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General NPI Number Information
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NPI Number | 1649496332
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Entity Type | Organization
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Legal Business Name | CASSIS AND MORCOS DENTAL SERVICES
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2920 HEMPSTEAD TPKE SUITE 2
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City | LEVITTOWN
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State | NY
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Zip | 11756-1402
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Country | US
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Telephone | 516-796-8300
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Fax | 516-796-8332
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Provider Business Mailing Address
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Address Line | 2920 HEMPSTEAD TPKE SUITE 2
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City | LEVITTOWN
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State | NY
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Zip | 11756-1402
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Country | US
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Telephone | 516-796-8300
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Fax | 516-796-8332
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DIANA D. DEPALMA
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Credential |
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Telephone | 516-683-9100
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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 |
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License Number State |
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