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General NPI Number Information
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NPI Number | 1760639157
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Entity Type | Individual
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Provider Name | RANDY FREDERICK PRITZ DMD
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Gender | Male
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 30 5TH AVE APT 1G
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City | NEW YORK
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State | NY
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Zip | 10011-8804
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Country | US
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Telephone | 212-673-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 3 ISLAND AVE APT 5D
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City | MIAMI BEACH
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State | FL
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Zip | 33139-1333
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Country | US
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Telephone | 609-442-8305
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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 | P64281
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | P64281
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License Number State | NY
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