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General NPI Number Information
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NPI Number | 1689206542
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Entity Type | Organization
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Legal Business Name | SARATOGA DENTAL CARE, PLLC
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 75 WEIBEL AVE UNIT A
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-5899
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Country | US
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Telephone | 518-584-2848
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Fax |
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Provider Business Mailing Address
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Address Line | 75 WEIBEL AVE UNIT A
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-5899
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Country | US
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Telephone | 518-584-2848
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | CHAD HENDRICKS
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Credential |
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Telephone | 612-859-0444
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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 |
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License Number State |
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