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General NPI Number Information
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NPI Number | 1922231489
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Entity Type | Organization
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Legal Business Name | JOHN R DENTON, M.D. P.C.
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 170 W 12TH ST SPELLMAN 7TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10011-8202
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Country | US
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Telephone | 212-604-6237
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Fax | 212-604-6723
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Provider Business Mailing Address
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Address Line | 1333A NORTH AVE BOX 434
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-2120
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Country | US
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Telephone | 212-604-6237
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Fax | 212-604-6723
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN DENTON
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Credential | M.D.
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Telephone | 212-604-6237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 102038
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License Number State | NY
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