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General NPI Number Information
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NPI Number | 1851464101
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Entity Type | Organization
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Legal Business Name | E A DUANE AND B R MCCURDY PARTNERS
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 501 PEASE LN
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City | WEST ISLIP
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State | NY
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Zip | 11795-3420
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Country | US
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Telephone | 631-669-0107
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Fax | 631-669-0268
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Provider Business Mailing Address
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Address Line | 501 PEASE LN
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City | WEST ISLIP
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State | NY
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Zip | 11795-3420
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Country | US
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Telephone | 631-669-0107
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Fax | 631-669-0268
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Authorized Official
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Title or Position | FRONT DESK
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Name | MRS. ANNE O ROCK
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Credential |
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Telephone | 631-669-0107
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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 | 034388
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License Number State | NY
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