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General NPI Number Information
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NPI Number | 1679802524
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Entity Type | Individual
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Provider Name | ANNA K LANDAU DDS
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Gender | Female
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Dates
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Enumeration Date | 12/23/2009
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 345 E 24TH STREET NYU COLLEGE OF DENTISTRY DEPARTMENT OF CARIOLOGY & COMP
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City | NEW YORK
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State | NY
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Zip | 10010
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Country | US
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Telephone | 212-998-9680
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Fax | 212-995-4955
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Provider Business Mailing Address
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Address Line | 16 RIDGE TERRACE ANNA K. LANDAU
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City | SHORT HILLS
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State | NJ
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Zip | 07078
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Country | US
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Telephone | 201-259-0514
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Fax | 973-921-0350
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 032041-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 032041-1
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License Number State | NY
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