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General NPI Number Information
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NPI Number | 1962186288
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Entity Type | Organization
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Legal Business Name | DANA KEILES DENTAL PC
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 3505 HILL BLVD STE G
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-1210
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Country | US
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Telephone | 914-214-9740
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Fax |
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Provider Business Mailing Address
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Address Line | 3505 HILL BLVD STE G
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-1210
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Country | US
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Telephone | 914-214-9740
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | NICOLE COHN
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Credential |
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Telephone | 845-282-4939
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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 |
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License Number State |
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