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General NPI Number Information
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NPI Number | 1891831947
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Entity Type | Individual
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Provider Name | JOHN DOUGLAS ASTON DDS
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1299 CORPORATE DR APT 813
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City | WESTBURY
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State | NY
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Zip | 11590-6621
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Country | US
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Telephone | 718-772-6557
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Fax | 718-835-3096
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Provider Business Mailing Address
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Address Line | 55 W 26TH ST APT 19A
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City | NEW YORK
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State | NY
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Zip | 10010-1001
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Country | US
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Telephone | 718-772-6557
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Fax | 718-835-3096
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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 | 049962-1
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License Number State | NY
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