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General NPI Number Information
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NPI Number | 1902820962
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Entity Type | Individual
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Provider Name | MARC R. SCHACHTER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 972 ROUTE 45 SUITE 102
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City | POMONA
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State | NY
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Zip | 10970-3519
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Country | US
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Telephone | 845-354-6900
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Fax | 845-354-6901
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Provider Business Mailing Address
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Address Line | 972 ROUTE 45 SUITE 102
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City | POMONA
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State | NY
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Zip | 10970-3519
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Country | US
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Telephone | 845-354-6900
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Fax | 845-354-6901
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 033096
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License Number State | NY
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