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NPI 1841317294

NPI 1841317294 : CHANINAH L. ZWEIHORN D.D.S. : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1841317294
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    Entity Type          |    Individual 
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    Provider Name        |    CHANINAH L. ZWEIHORN D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/23/2007
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    Last Update Date     |    08/02/2012
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Provider Practice Location Address
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    Address Line         |    4119 13TH AVE CHANINAH L. ZWEIHORN, DDS, P.C.
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11219-1332
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    Country              |    US
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    Telephone            |    718-435-3393
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7925 150TH ST C15
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    City                 |    FLUSHING
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    State                |    NY
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    Zip                  |    11367-3812
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    Country              |    US
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    Telephone            |    917-862-8169
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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        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    051877
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    License Number State |    NY
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