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General NPI Number Information
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NPI Number | 1689875908
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Entity Type | Individual
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Provider Name | JORES CARABELAIAN D.D.S.,P.C.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 30 CENTRAL PARK S SUITE # 12C
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City | NEW YORK
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State | NY
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Zip | 10019-1628
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Country | US
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Telephone | 212-588-9048
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Fax | 212-588-9049
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Provider Business Mailing Address
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Address Line | 30 CENTRAL PARK S SUITE # 12C
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City | NEW YORK
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State | NY
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Zip | 10019-1628
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Country | US
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Telephone | 212-588-9048
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Fax | 212-588-9049
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 042396
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License Number State | NY
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