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NPI 1821122979

NPI 1821122979 : DRS. ROTHSTEIN & CHOPP DDS,LLP : FLUSHING, NY

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General NPI Number Information
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    NPI Number           |    1821122979
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    Entity Type          |    Organization 
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    Legal Business Name  |    DRS. ROTHSTEIN & CHOPP DDS,LLP 
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Dates
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    Enumeration Date     |    03/14/2007
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    Last Update Date     |    09/05/2008
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Provider Practice Location Address
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    Address Line         |    3901 MAIN ST SUITE 411
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    City                 |    FLUSHING
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    State                |    NY
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    Zip                  |    11354-5432
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    Country              |    US
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    Telephone            |    718-353-4908
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    Fax                  |    718-353-3263
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Provider Business Mailing Address
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    Address Line         |    3901 MAIN ST SUITE 411
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    City                 |    FLUSHING
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    State                |    NY
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    Zip                  |    11354-5432
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    Country              |    US
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    Telephone            |    718-353-4908
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    Fax                  |    718-353-3263
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Authorized Official
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    Title or Position    |    PARTNER
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    Name                 |    DR. ROY J ROTHSTEIN 
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    Credential           |    DDS
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    Telephone            |    718-353-4908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    037672
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    License Number State |    NY
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