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General NPI Number Information
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NPI Number | 1740299700
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Entity Type | Organization
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Legal Business Name | HENRY WEBSTER DDS PC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 5465 LINCOLN POND RD
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City | ELIZABETHTOWN
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State | NY
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Zip | 12932-2026
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Country | US
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Telephone | 914-552-0732
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Fax |
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Provider Business Mailing Address
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Address Line | 5465 LINCOLN POND RD
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City | ELIZABETHTOWN
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State | NY
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Zip | 12932-2026
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HENRY WEBSTER
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Credential | D.D.S., M.S.
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Telephone | 914-552-0732
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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 | 040068-1
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License Number State | NY
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