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General NPI Number Information
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NPI Number | 1801441852
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Entity Type | Individual
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Provider Name | CHARLES K ARIZA DDS
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Gender | Male
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 8639 WOODHAVEN BLVD
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City | JAMAICA
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State | NY
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Zip | 11421-1438
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Country | US
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Telephone | 718-845-7772
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Fax |
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Provider Business Mailing Address
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Address Line | 8555 106TH ST
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City | RICHMOND HILL
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State | NY
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Zip | 11418-1130
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Country | US
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Telephone | 646-392-6883
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN24436
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1002170-15
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 062357
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License Number State | NY
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