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General NPI Number Information
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NPI Number | 1902053739
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Entity Type | Individual
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Provider Name | DOUGLAS M PALAGANAS DDS
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Gender | Male
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Dates
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Enumeration Date | 08/22/2008
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Last Update Date | 08/22/2008
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Provider Practice Location Address
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Address Line | 3306 JERUSALEM AVE
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City | WANTAGH
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State | NY
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Zip | 11793-2014
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Country | US
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Telephone | 516-221-0925
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Fax | 516-221-6395
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Provider Business Mailing Address
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Address Line | 3306 JERUSALEM AVE
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City | WANTAGH
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State | NY
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Zip | 11793-2014
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Country | US
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Telephone | 516-221-0925
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Fax | 516-221-6395
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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 | 050763
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License Number State | NY
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