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General NPI Number Information
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NPI Number | 1902048770
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Entity Type | Individual
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Provider Name | ABRAHAM B LIFSHITZ D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 345 E 24TH ST
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 212-998-9270
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Fax |
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Provider Business Mailing Address
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Address Line | 440 E 23RD ST APT 12E
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City | NEW YORK
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State | NY
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Zip | 10010-5004
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Country | US
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Telephone | 954-494-7532
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DTP515
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 000136
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License Number State | NY
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