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General NPI Number Information
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NPI Number | 1891499745
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Entity Type | Organization
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Legal Business Name | SMILE DENTAL CARE P.C
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 2344 EASTCHESTER RD
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City | BRONX
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State | NY
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Zip | 10469-5911
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Country | US
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Telephone | 646-401-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 586 MORRIS AVE
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City | BRONX
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State | NY
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Zip | 10451-5172
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Country | US
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Telephone | 646-401-7878
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Fax |
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Authorized Official
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Title or Position | MANAGEMENT
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Name | MR. RUSHIN GANDHI
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Credential |
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Telephone | 917-703-1985
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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 |
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License Number State |
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