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General NPI Number Information
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NPI Number | 1669514667
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Entity Type | Individual
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Provider Name | PETER CATAPANO JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | BELLEVUE HOSPITAL CENTER 1ST AVENUE AND 27TH STREET
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 212-562-5549
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Fax | 212-562-5523
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Provider Business Mailing Address
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Address Line | 3421 80TH ST APT. 31
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-2703
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Country | US
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Telephone | 718-639-3093
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Fax |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 031912
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License Number State | NY
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