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General NPI Number Information
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NPI Number | 1861671018
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Entity Type | Organization
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Legal Business Name | HUDSON DENTAL SERVICES PC
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 117 FAIRVIEW AVE
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City | HUDSON
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State | NY
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Zip | 12534-2322
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Country | US
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Telephone | 518-828-1597
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Fax |
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Provider Business Mailing Address
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Address Line | 117 FAIRVIEW AVENUE
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City | HUDSON
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State | NY
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Zip | 12534-2322
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Country | US
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Telephone | 518-828-1597
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN J SOLOMON
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Credential | DDS
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Telephone | 518-828-1597
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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 | 037567
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License Number State | NY
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