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General NPI Number Information
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NPI Number | 1659587731
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Entity Type | Organization
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Legal Business Name | SANDRA M LOW DMD PC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 133 E 58TH ST SUITE 904
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City | NEW YORK
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State | NY
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Zip | 10022-1236
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Country | US
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Telephone | 212-752-1430
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Fax | 212-752-1469
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Provider Business Mailing Address
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Address Line | 115 E 61ST ST SUITE 12N
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City | NEW YORK
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State | NY
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Zip | 10065-8183
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Country | US
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Telephone | 212-752-1430
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Fax | 212-752-1469
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDRA M LOW
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Credential |
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Telephone | 212-752-1430
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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 | 046362
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License Number State | NY
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