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General NPI Number Information
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NPI Number | 1831374933
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Entity Type | Organization
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Legal Business Name | YONKERS DENTAL,PC
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 45 LUDLOW ST
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City | YONKERS
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State | NY
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Zip | 10705-1947
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Country | US
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Telephone | 914-968-4070
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Fax | 914-968-5539
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Provider Business Mailing Address
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Address Line | 45 LUDLOW ST
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City | YONKERS
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State | NY
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Zip | 10705-1947
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Country | US
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Telephone | 914-968-4070
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Fax | 914-968-5539
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ITALO A TORRICELLI
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Credential | DDS
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Telephone | 914-968-4070
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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 | 039528-1
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License Number State | NY
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