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General NPI Number Information
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NPI Number | 1942570734
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Entity Type | Organization
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Legal Business Name | JOSEPH A.TAMAGNA DDS PC
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 421 HUGUENOT ST SUITE 11
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-7004
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Country | US
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Telephone | 914-235-9316
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Fax | 914-235-9316
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Provider Business Mailing Address
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Address Line | 421 HUGUENOT ST SUITE 11
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-7004
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Country | US
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Telephone | 914-235-9316
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Fax | 914-235-9316
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH ANTHONY TAMAGNA
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Credential | DDSOWNER
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Telephone | 914-235-9316
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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 | 024685
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License Number State | NY
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