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General NPI Number Information
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NPI Number | 1730256314
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Entity Type | Organization
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Legal Business Name | DR DW BYTHEWOOD DDS PC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 520 FRANKLIN AVE STE L19
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City | GARDEN CITY
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State | NY
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Zip | 11530
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Country | US
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Telephone | 516-248-2560
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Fax | 516-248-2590
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Provider Business Mailing Address
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Address Line | 520 FRANKLIN AVE STE L19
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City | GARDEN CITY
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State | NY
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Zip | 11530
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Country | US
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Telephone | 516-248-2560
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Fax | 516-248-2590
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ELAINE C ZECCARDI
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Credential |
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Telephone | 516-248-2560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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