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General NPI Number Information
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NPI Number | 1982524690
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Entity Type | Organization
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Legal Business Name | JAMAICA ESTATES DENTAL CARE PLLC
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 17561 HILLSIDE AVE
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City | JAMAICA
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State | NY
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Zip | 11432-5774
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Country | US
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Telephone | 718-704-8790
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Fax |
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Provider Business Mailing Address
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Address Line | 17561 HILLSIDE AVE
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City | JAMAICA
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State | NY
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Zip | 11432-5774
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. JUDAH BARUCH
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Credential |
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Telephone | 718-704-8790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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