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General NPI Number Information
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NPI Number | 1720231764
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Entity Type | Organization
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Legal Business Name | DEVI KONAR DDS PC
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 181 E 104TH ST
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City | NEW YORK
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State | NY
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Zip | 10029-8000
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Country | US
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Telephone | 212-369-0680
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Fax | 212-369-0681
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Provider Business Mailing Address
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Address Line | 181 E 104TH ST
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City | NEW YORK
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State | NY
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Zip | 10029-8000
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Country | US
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Telephone | 212-369-0680
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Fax | 212-369-0681
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEVI KONAR
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Credential | D.D.S
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Telephone | 212-369-0680
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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 | 048537
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License Number State | NY
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