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General NPI Number Information
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NPI Number | 1912435645
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Entity Type | Organization
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Legal Business Name | DANIELLA ASARO DDS PC
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 05/25/2017
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Provider Practice Location Address
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Address Line | 1606 FRANCIS LEWIS BLVD
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City | WHITESTONE
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State | NY
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Zip | 11357-3245
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Country | US
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Telephone | 917-626-8847
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Fax |
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Provider Business Mailing Address
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Address Line | 1606 FRANCIS LEWIS BLVD
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City | WHITESTONE
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State | NY
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Zip | 11357-3245
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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 | DENTIST
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Name | DR. DANIELLA ASARO
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Credential | DDS
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Telephone | 917-626-8847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 053072
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License Number State | NY
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