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NPI 1982634515

NPI 1982634515 : DENNIS VALERIO DDS : CAMBRIDGE, NY

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General NPI Number Information
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    NPI Number           |    1982634515
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    Entity Type          |    Individual 
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    Provider Name        |    DENNIS VALERIO DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/03/2006
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    Last Update Date     |    12/30/2015
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Provider Practice Location Address
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    Address Line         |    33 GILBERT ST SUITE 4
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    City                 |    CAMBRIDGE
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    State                |    NY
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    Zip                  |    12816-2643
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    Country              |    US
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    Telephone            |    518-677-5517
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2651 STATE ROUTE 40 
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    City                 |    GREENWICH
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    State                |    NY
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    Zip                  |    12834-2303
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    Country              |    US
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    Telephone            |    518-692-9333
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    Fax                  |    518-692-9696
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    34114
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    License Number State |    NY
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