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General NPI Number Information
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NPI Number | 1811093404
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Entity Type | Individual
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Provider Name | STEVE MANZON D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 03/23/2010
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Provider Practice Location Address
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Address Line | 1777 OCEAN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11223-2060
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Country | US
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Telephone | 718-998-9114
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Fax |
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Provider Business Mailing Address
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Address Line | 2908 EMMONS AVE UNIT 2920
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City | BROOKLYN
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State | NY
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Zip | 11235-2243
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Country | US
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Telephone | 347-741-7023
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 050702-1
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License Number State | NY
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