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General NPI Number Information
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NPI Number | 1811136922
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Entity Type | Organization
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Legal Business Name | STEPHEN AKSEIZER DDS PC
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 43 MARKET DR
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City | SYOSSET
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State | NY
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Zip | 11791-6917
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Country | US
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Telephone | 516-938-7066
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Fax | 516-908-4211
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Provider Business Mailing Address
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Address Line | 43 MARKET DR
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City | SYOSSET
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State | NY
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Zip | 11791-6917
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Country | US
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Telephone | 516-938-7066
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Fax | 516-908-4211
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Authorized Official
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Title or Position | DENTIST - PRESIDENT
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Name | DR. STEPHEN AKSEIZER
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Credential | DDS
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Telephone | 516-938-7066
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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 | 027367
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License Number State | NY
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