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General NPI Number Information
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NPI Number | 1992294789
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Entity Type | Organization
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Legal Business Name | WEST HEMPSTEAD DENTAL, P.C.
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 561 HEMPSTEAD AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2907
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Country | US
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Telephone | 516-483-7580
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 NORTHERN BLVD STE 301
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City | MANHASSET
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State | NY
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Zip | 11030-3001
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Country | US
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Telephone | 516-365-5595
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Fax | 516-365-5594
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AARON ELKOWITZ
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Credential | DMD
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Telephone | 516-457-2150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 043763
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License Number State | NY
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