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General NPI Number Information
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NPI Number | 1871625251
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Entity Type | Individual
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Provider Name | STANLEY M. WEINSTOCK D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 654 MADISON AVE 1601
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City | NEW YORK
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State | NY
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Zip | 10021-8404
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Country | US
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Telephone | 212-759-4715
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Fax | 212-759-4716
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Provider Business Mailing Address
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Address Line | 654 MADISON AVE 1601
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City | NEW YORK
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State | NY
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Zip | 10021-8404
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Country | US
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Telephone | 212-759-4715
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Fax | 212-759-4716
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 23788
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License Number State | NY
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