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General NPI Number Information
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NPI Number | 1841493962
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Entity Type | Individual
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Provider Name | ELI ZUKER DDS
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 299 GUYON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-4134
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Country | US
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Telephone | 718-987-6400
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Fax | 718-980-7017
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Provider Business Mailing Address
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Address Line | 959 WESTWOOD AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-4245
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Country | US
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Telephone | 718-983-9887
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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 | 33712
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License Number State | NY
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