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General NPI Number Information
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NPI Number | 1689231466
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Entity Type | Organization
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Legal Business Name | CRAIG I ARONSON
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 05/28/2019
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Provider Practice Location Address
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Address Line | 516 ROUTE 303
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City | ORANGEBURG
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State | NY
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Zip | 10962-1352
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Country | US
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Telephone | 845-359-2221
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Fax |
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Provider Business Mailing Address
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Address Line | 516 ROUTE 303
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City | ORANGEBURG
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State | NY
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Zip | 10962-1352
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRAIG ARONSON
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Credential |
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Telephone | 845-359-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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