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General NPI Number Information
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NPI Number | 1942679162
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Entity Type | Organization
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Legal Business Name | POSH DENTAL PC
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 2900 HEMPSTEAD TPKE SUITE 111
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City | LEVITTOWN
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State | NY
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Zip | 11756-1404
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Country | US
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Telephone | 516-637-5978
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Fax |
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Provider Business Mailing Address
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Address Line | 160 MILLER RD
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City | HICKSVILLE
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State | NY
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Zip | 11801-1834
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Country | US
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Telephone | 516-637-5978
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MRS. NAJLA NAJEEB
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Credential |
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Telephone | 516-637-5978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 057095-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 057095-1
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License Number State | NY
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