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General NPI Number Information
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NPI Number | 1871089433
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Entity Type | Organization
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Legal Business Name | RYLIN DENTAL P.C.
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 6500 JERICHO TPKE STE 2W
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City | SYOSSET
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State | NY
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Zip | 11791-4435
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Country | US
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Telephone | 516-935-0643
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Fax |
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Provider Business Mailing Address
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Address Line | 150 W 96TH ST APT 6A
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City | NEW YORK
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State | NY
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Zip | 10025-6443
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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 | OWNER
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Name | DR. RONALD LIN
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Credential | DDS
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Telephone | 516-776-0822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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