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General NPI Number Information
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NPI Number | 1801439252
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Entity Type | Organization
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Legal Business Name | WOODROW FAMILY DENTISTRY PC
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 739 WOODROW RD
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City | STATEN ISLAND
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State | NY
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Zip | 10312-2221
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Country | US
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Telephone | 718-317-8524
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Fax | 929-624-2512
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Provider Business Mailing Address
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Address Line | 739 WOODROW RD
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City | STATEN ISLAND
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State | NY
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Zip | 10312-2221
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Country | US
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Telephone | 718-317-8524
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Fax | 929-624-2512
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. WILLIAM G CORBETT
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Credential | DMD
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Telephone | 917-932-3247
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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 |
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License Number State |
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