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General NPI Number Information
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NPI Number | 1891482873
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Entity Type | Individual
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Provider Name | DAVID TSADYK
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Gender | Male
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 4131 MAIN ST
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City | BRIDGEPORT
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State | CT
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Zip | 06606-2348
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Country | US
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Telephone | 203-372-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 18548 80TH RD
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City | JAMAICA
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State | NY
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Zip | 11432-5807
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Country | US
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Telephone | 347-753-7953
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 14155
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 064210
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License Number State | NY
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