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General NPI Number Information
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NPI Number | 1750947792
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Entity Type | Organization
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Legal Business Name | EDUARD MUNAROV DDS PC
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 449 N STATE RD STE 102
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510-1478
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Country | US
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Telephone | 646-420-7570
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Fax |
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Provider Business Mailing Address
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Address Line | 10542 65TH RD UPPR LEVEL
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City | FOREST HILLS
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State | NY
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Zip | 11375-1841
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Country | US
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Telephone | 646-420-7570
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Fax |
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Authorized Official
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Title or Position | DDS
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Name | DR. EDUARD MUNAROV
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Credential | DDS
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Telephone | 646-420-7570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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