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General NPI Number Information
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NPI Number | 1952421265
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Entity Type | Individual
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Provider Name | W THOMAS SAFIN DMD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 350 FIFTH AVENUE SUITE 5222
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City | NEW YORK CITY
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State | NY
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Zip | 10118
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Country | US
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Telephone | 212-594-8060
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Fax | 212-594-8936
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Provider Business Mailing Address
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Address Line | 70 MAPLEWOOD AVE
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City | MAPLEWOOD
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State | NJ
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Zip | 07046
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Country | US
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Telephone | 973-762-9569
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 029575
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License Number State | NY
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