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General NPI Number Information
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NPI Number | 1740451087
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Entity Type | Organization
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Legal Business Name | MASOOD SYED FAMILY DENTISTRY P.C.
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 652 SUFFOLK AVE
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City | BRENTWOOD
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State | NY
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Zip | 11717-4391
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Country | US
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Telephone | 631-273-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 652 SUFFOLK AVE
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City | BRENTWOOD
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State | NY
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Zip | 11717-4391
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Country | US
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Telephone | 631-273-5888
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | MASOOD H SYED
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Credential | D.D.S.
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Telephone | 631-273-5888
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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 | 046165
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License Number State | NY
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