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General NPI Number Information
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NPI Number | 1821261231
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Entity Type | Organization
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Legal Business Name | PANNA HOWIL, DDS, PC
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 313 S MAIN ST
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212
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Country | US
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Telephone | 315-458-1370
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Fax | 315-458-1370
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Provider Business Mailing Address
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Address Line | 313 S MAIN ST
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212
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Country | US
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Telephone | 315-458-1370
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Fax | 315-458-1370
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | PANNA HOWIL
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Credential |
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Telephone | 315-458-1370
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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 | 47790
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License Number State | NY
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