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General NPI Number Information
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NPI Number | 1841720794
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Entity Type | Organization
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Legal Business Name | ASLEEP DENTISTRY
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 06/14/2017
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Provider Practice Location Address
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Address Line | 37 NORTH AVE
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City | NORWALK
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State | CT
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Zip | 06851-3827
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Country | US
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Telephone | 203-817-2534
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Fax |
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Provider Business Mailing Address
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Address Line | 103 THE WATERWAY
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City | MANHASSET
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State | NY
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Zip | 11030-1331
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DDS
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Name | ABRA DILISIO
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Credential |
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Telephone | 248-217-4590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number |
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License Number State | CT
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