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General NPI Number Information
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NPI Number | 1932238649
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Entity Type | Organization
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Legal Business Name | ALVIN BREGMAN DDS PC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/11/2008
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Provider Practice Location Address
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Address Line | 531 WASHINGTON STREET
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City | WATERTOWN
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State | NY
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Zip | 13601
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Country | US
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Telephone | 315-788-4740
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Fax | 315-788-4228
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Provider Business Mailing Address
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Address Line | 531 WASHINGTON STREET
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City | WATERTOWN
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State | NY
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Zip | 13601
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Country | US
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Telephone | 315-788-4740
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Fax | 315-788-4228
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALVIN H BREGMAN
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Credential | DDS
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Telephone | 315-788-4740
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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 | 024841
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 044613
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License Number State | NY
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