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General NPI Number Information
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NPI Number | 1821170994
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Entity Type | Individual
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Provider Name | KEN MARKEL D.M.D
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 123 W 79TH ST
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City | NEW YORK
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State | NY
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Zip | 10024-6480
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Country | US
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Telephone | 212-496-9600
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Fax | 212-496-9788
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Provider Business Mailing Address
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Address Line | 175 VAIL LN
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City | NORTH SALEM
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State | NY
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Zip | 10560-1509
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Country | US
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Telephone | 212-496-9600
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Fax | 212-496-9788
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 035345
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License Number State | NY
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