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General NPI Number Information
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NPI Number | 1760695571
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Entity Type | Individual
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Provider Name | JOSEPH M PILATICH III D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 132 JEFFERSON HTS
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City | CATSKILL
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State | NY
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Zip | 12414-1215
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Country | US
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Telephone | 518-943-0920
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Fax | 518-943-0921
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Provider Business Mailing Address
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Address Line | 132 JEFFERSON HTS
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City | CATSKILL
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State | NY
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Zip | 12414-1215
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Country | US
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Telephone | 518-943-0920
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Fax | 518-943-0921
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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 | 044630
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License Number State | NY
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