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General NPI Number Information
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NPI Number | 1982805461
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Entity Type | Organization
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Legal Business Name | WALLSTREET DENTAL P.C.
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3159 CARMAN RD
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City | SCHENECTADY
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State | NY
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Zip | 12303-4550
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Country | US
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Telephone | 518-370-1202
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Fax | 518-370-1955
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Provider Business Mailing Address
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Address Line | 3159 CARMAN RD
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City | SCHENECTADY
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State | NY
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Zip | 12303-4550
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Country | US
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Telephone | 518-370-1202
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Fax | 518-370-1955
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VINODKUMAR D NAGPAL
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Credential | D.D.S.
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Telephone | 518-370-1202
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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 | 034558
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License Number State | NY
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