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General NPI Number Information
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NPI Number | 1881287563
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Entity Type | Individual
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Provider Name | JESSE HALPERN
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Gender | Male
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Dates
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Enumeration Date | 02/14/2021
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 2004 CROMPOND RD
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4231
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Country | US
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Telephone | 914-243-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 3B OLDE WILLOW WAY
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510-1465
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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 |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 062513
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License Number State | NY
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