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General NPI Number Information
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NPI Number | 1952530123
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Entity Type | Organization
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Legal Business Name | 3D IMAGING
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 165 W 46TH ST SUITE 611
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City | NEW YORK
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State | NY
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Zip | 10036-2501
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Country | US
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Telephone | 212-354-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 165 W 46TH ST SUITE 611
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City | NEW YORK
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State | NY
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Zip | 10036-2501
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Country | US
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Telephone | 212-354-6444
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID KADOE
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Credential | D.D.S
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Telephone | 212-354-6444
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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 | 0410711
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 053464-1
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License Number State | NY
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