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General NPI Number Information
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NPI Number | 1699122788
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Entity Type | Organization
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Legal Business Name | STEVEN H NADEL DDS LLC
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 274 MADISON AVE SUITE 202
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City | NEW YORK
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State | NY
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Zip | 10016-0701
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Country | US
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Telephone | 646-221-4411
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Fax |
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Provider Business Mailing Address
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Address Line | 274 MADISON AVE SUITE 202
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City | NEW YORK
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State | NY
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Zip | 10016-0701
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Country | US
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Telephone | 646-221-4411
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. STEVEN HARRY NADEL
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Credential | DDS
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Telephone | 786-525-4924
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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 | 50057867
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License Number State | NY
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