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General NPI Number Information
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NPI Number | 1912430125
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Entity Type | Organization
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Legal Business Name | HENRY I. FERDMAN D.D.S. P.C.
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 496 W MAIN ST
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City | BABYLON
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State | NY
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Zip | 11702-3010
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Country | US
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Telephone | 631-669-1878
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Fax |
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Provider Business Mailing Address
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Address Line | 1260 HARBOR RD
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City | HEWLETT
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State | NY
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Zip | 11557-2627
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HENRY I FERDMAN
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Credential | DDS
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Telephone | 860-214-6750
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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 | 054380
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License Number State | NY
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