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General NPI Number Information
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NPI Number | 1982783635
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Entity Type | Organization
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Legal Business Name | DESONICS, INC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 385 W JOHN ST STE 2
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City | HICKSVILLE
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State | NY
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Zip | 11801-1033
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Country | US
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Telephone | 917-335-2292
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Fax | 205-922-6272
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Provider Business Mailing Address
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Address Line | 249 S MIDDLETOWN RD
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City | PEARL RIVER
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State | NY
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Zip | 10965-3037
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Country | US
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Telephone | 917-335-2292
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Fax | 718-648-2772
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Authorized Official
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Title or Position | PRES.
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Name | MR. DANIEL DECHON
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Credential | RDMS
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Telephone | 917-335-2292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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