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General NPI Number Information
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NPI Number | 1689684458
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Entity Type | Organization
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Legal Business Name | RYE DENTAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 33 CEDAR ST
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City | RYE
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State | NY
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Zip | 10580-2031
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Country | US
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Telephone | 914-967-1242
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Fax | 914-967-8172
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Provider Business Mailing Address
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Address Line | 33 CEDAR ST
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City | RYE
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State | NY
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Zip | 10580-2031
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Country | US
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Telephone | 914-967-1242
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Fax | 914-967-8172
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Authorized Official
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Title or Position | V.P.
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Name | DR. BRIAN KABCENELL
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Credential | D.M.D.
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Telephone | 914-967-1242
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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 | 44706
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 36681
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License Number State | NY
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