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General NPI Number Information
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NPI Number | 1912118704
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Entity Type | Individual
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Provider Name | IRINA SUAREZ D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ONE NORTH STREET
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City | HASTINGS-ON-HUDSON
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State | NY
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Zip | 10706-1542
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Country | US
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Telephone | 914-478-2504
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Fax | 914-478-3788
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Provider Business Mailing Address
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Address Line | ONE NORTH STREET
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City | HASTINGS-ON-HUDSON
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State | NY
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Zip | 10706-1542
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Country | US
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Telephone | 914-478-2504
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Fax | 914-478-3788
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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 | 048056
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License Number State | NY
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