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General NPI Number Information
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NPI Number | 1952366973
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Entity Type | Organization
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Legal Business Name | MODERN ORTHODONTICS, PC
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 391 E 149TH ST RM 214
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City | BRONX
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State | NY
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Zip | 10455-3922
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Country | US
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Telephone | 718-993-5454
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Fax | 718-993-5455
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Provider Business Mailing Address
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Address Line | 391 E 149TH ST RM 214
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City | BRONX
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State | NY
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Zip | 10455-3922
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Country | US
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Telephone | 718-993-5454
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Fax | 718-993-5455
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENNETH BRUCE COOPERMAN
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Credential | DMD
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Telephone | 718-993-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0469571
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License Number State | NY
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