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General NPI Number Information
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NPI Number | 1801930854
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Entity Type | Organization
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Legal Business Name | ALDONA PYRCHLA DDS PLLC
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 511 68TH ST
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City | BROOKLYN
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State | NY
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Zip | 11220-6003
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Country | US
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Telephone | 718-238-3025
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Fax | 718-238-3026
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Provider Business Mailing Address
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Address Line | 511 68TH ST
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City | BROOKLYN
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State | NY
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Zip | 11220-6003
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Country | US
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Telephone | 718-238-3025
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Fax | 718-238-3026
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALDONA PYRCHLA
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Credential | DDS
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Telephone | 718-238-3025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 051481
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License Number State | NY
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