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General NPI Number Information
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NPI Number | 1780684373
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Entity Type | Individual
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Provider Name | BARTLEY R. LABINER DDS
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Gender | Male
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1940 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10457-5221
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Country | US
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Telephone | 718-583-6347
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Fax | 718-583-8047
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Provider Business Mailing Address
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Address Line | 1940 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10457-5221
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Country | US
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Telephone | 718-583-6347
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Fax | 718-583-8047
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 031875
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License Number State | NY
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