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General NPI Number Information
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NPI Number | 1659823722
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Entity Type | Organization
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Legal Business Name | KARMEL DENTAL LLP
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 8703 JAMAICA AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-2037
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Country | US
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Telephone | 718-849-5900
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Fax | 718-849-6742
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Provider Business Mailing Address
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Address Line | 8703 JAMAICA AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-2037
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Country | US
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Telephone | 718-849-5900
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Fax | 718-849-6742
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Authorized Official
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Title or Position | PARTNET
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Name | MR. RUSSELL DAVID KARMEL
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Credential | DDS
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Telephone | 718-849-5900
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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 | 041427
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License Number State | NY
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