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General NPI Number Information
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NPI Number | 1699630954
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Entity Type | Organization
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Legal Business Name | NATHAN LIGHT DMD PLLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 33 DOWNTOWN DR STE 109
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City | MONSEY
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State | NY
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Zip | 10952-3849
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Country | US
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Telephone | 201-509-0737
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Fax |
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Provider Business Mailing Address
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Address Line | 327 WARWICK AVE
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City | TEANECK
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State | NJ
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Zip | 07666-3037
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Country | US
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Telephone | 201-509-0737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NATHAN LIGHT
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Credential | DMD
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Telephone | 201-509-0737
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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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