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General NPI Number Information
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NPI Number | 1891150348
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Entity Type | Organization
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Legal Business Name | J BIEBER ORAL AND MAXILLOFACIAL SURGERY PLLC
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 841 ROUTE 52
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City | FISHKILL
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State | NY
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Zip | 12524-1516
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Country | US
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Telephone | 845-896-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 841 ROUTE 52
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City | FISHKILL
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State | NY
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Zip | 12524-1516
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Country | US
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Telephone | 845-896-8424
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | JOSEF BIEBER
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Credential | DDS
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Telephone | 845-896-8424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number | 030759-1
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License Number State | NY
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