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General NPI Number Information
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NPI Number | 1710058540
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Entity Type | Organization
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Legal Business Name | LISA A MARKOWITZ DDS PC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 340 VETERANS MEMORIAL HWY SUITE 9
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City | COMMACK
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State | NY
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Zip | 11725-4300
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Country | US
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Telephone | 631-543-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 340 VETERANS MEMORIAL HWY SUITE 9
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City | COMMACK
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State | NY
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Zip | 11725-4300
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Country | US
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Telephone | 631-543-7333
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LISA A MARKOWITZ
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Credential | DDS
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Telephone | 631-543-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 039505
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License Number State | NY
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