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General NPI Number Information
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NPI Number | 1831361088
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Entity Type | Individual
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Provider Name | URSZULA REDZIO DDS
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Gender | Female
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 6913 FOREST AVE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-4457
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Country | US
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Telephone | 718-417-8453
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Fax |
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Provider Business Mailing Address
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Address Line | 235 WESSINGTON AVE
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City | GARFIELD
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State | NJ
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Zip | 07026-2727
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Country | US
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Telephone | 973-772-0024
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 053239
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02333400
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License Number State | NJ
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