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General NPI Number Information
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NPI Number | 1861170284
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Entity Type | Organization
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Legal Business Name | EISENBERGER AND BINDIGER ORTHODONTICS PLLC
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 1365 48TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-3102
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Country | US
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Telephone | 718-246-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 1365 48TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-3102
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Country | US
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Telephone | 718-246-5400
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | JONATHAN HIRSCHEL
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Credential |
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Telephone | 917-696-2319
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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