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General NPI Number Information
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NPI Number | 1790308757
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Entity Type | Individual
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Provider Name | ANTHONY BOGDAN DDS
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Gender | Male
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Dates
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Enumeration Date | 05/26/2020
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1004 PRINCETOWN RD STE 1
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City | SCHENECTADY
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State | NY
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Zip | 12306-9766
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Country | US
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Telephone | 518-355-5492
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Fax | 518-357-9928
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Provider Business Mailing Address
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Address Line | 1004 PRINCETOWN RD
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City | SCHENECTADY
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State | NY
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Zip | 12306-9769
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Country | US
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Telephone | 518-355-5492
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 061727
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License Number State | NY
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