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General NPI Number Information
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NPI Number | 1801099973
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Entity Type | Individual
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Provider Name | DENNIS OPPENHEIMER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 10/25/2013
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Provider Practice Location Address
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Address Line | 195 WASHINGTON AVE
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City | KINGSTON
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State | NY
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Zip | 12401-4831
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Country | US
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Telephone | 845-514-2815
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Fax | 917-382-2441
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Provider Business Mailing Address
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Address Line | 23 TERRA RD
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City | SAUGERTIES
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State | NY
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Zip | 12477-3073
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Country | US
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Telephone | 845-246-5599
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Fax | 877-220-1266
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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 | 049340
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License Number State | NY
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