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General NPI Number Information
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NPI Number | 1740405109
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Entity Type | Individual
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Provider Name | DR. CORINA OADES
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 30 E 60TH ST #402
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City | NEW YORK
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State | NY
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Zip | 10022-1008
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Country | US
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Telephone | 212-593-3955
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Fax | 212-593-7295
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Provider Business Mailing Address
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Address Line | 166 BANK STREET PHC
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City | NEW YORK
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State | NY
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Zip | 10014
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Country | US
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Telephone | 917-363-4710
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 0501541
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License Number State | NY
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