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General NPI Number Information
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NPI Number | 1831170752
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Entity Type | Organization
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Legal Business Name | DENTISTS DELIVERING SERVICES PLLC
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 12/23/2013
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Provider Practice Location Address
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Address Line | 22002 94TH DR
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-2106
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Country | US
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Telephone | 917-545-1226
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Fax |
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Provider Business Mailing Address
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Address Line | 22002 94TH DR
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-2106
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Country | US
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Telephone | 917-545-1226
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. NORMAN H KLEIN
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Credential | D.D.S.
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Telephone | 917-545-1226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 32454
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License Number State | NY
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