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General NPI Number Information
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NPI Number | 1750547766
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Entity Type | Individual
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Provider Name | CARLA ISABEL WEISFELD DDS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 110 WILLETT AVE
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City | PORT CHESTER
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State | NY
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Zip | 10573-4282
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Country | US
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Telephone | 914-937-3733
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Fax | 914-937-3733
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Provider Business Mailing Address
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Address Line | 18 BRONX ST
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City | TUCKAHOE
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State | NY
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Zip | 10707-3302
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Country | US
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Telephone | 646-546-7036
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 053951-1
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License Number State | NY
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