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General NPI Number Information
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NPI Number | 1942526710
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Entity Type | Organization
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Legal Business Name | ROBERT N. BURSTEIN, DDS
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 15 MORGAN FARMS DR SUITE 3
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-1372
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Country | US
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Telephone | 860-644-4741
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Fax | 860-644-6805
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Provider Business Mailing Address
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Address Line | 15 MORGAN FARMS DR SUITE 3
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-1372
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Country | US
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Telephone | 860-644-4741
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Fax | 860-644-6805
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | ROBERT N BURSTEIN
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Credential | DDS
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Telephone | 860-644-4741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7715
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License Number State | CT
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