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General NPI Number Information
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NPI Number | 1851372742
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Entity Type | Organization
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Legal Business Name | TWINS DENTAL CARE PC
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 11406 QUEENS BLVD
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City | FOREST HILLS
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State | NY
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Zip | 11375-7001
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Country | US
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Telephone | 718-544-5414
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Fax | 718-544-5411
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Provider Business Mailing Address
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Address Line | 11406 QUEENS BLVD
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City | FOREST HILLS
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State | NY
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Zip | 11375-7001
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Country | US
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Telephone | 718-544-5414
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Fax | 718-544-5411
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. SIMKHA SOLOMON
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Credential | DDS
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Telephone | 718-544-5414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 047826
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 047709
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License Number State | NY
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