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General NPI Number Information
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NPI Number | 1780826388
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Entity Type | Organization
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Legal Business Name | DIAL HEWLETT JR.,M.D.,P.C.
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 22 SAGAMORE RD STE: E
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City | BRONXVILLE
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State | NY
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Zip | 10708-1541
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Country | US
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Telephone | 914-337-2223
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Fax | 914-337-0200
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Provider Business Mailing Address
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Address Line | 22 SAGAMORE RD STE: E
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City | BRONXVILLE
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State | NY
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Zip | 10708-1541
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Country | US
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Telephone | 914-337-2223
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Fax | 914-337-0200
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DIAL HEWLETT JR.
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Credential | M.D., P.C.
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Telephone | 914-337-2223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 138794
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License Number State | NY
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