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General NPI Number Information
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NPI Number | 1992920391
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Entity Type | Organization
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Legal Business Name | CHARLES S. HANDELMAN, D.M.D., P.C.
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1681 DEER PARK AVE
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City | DEER PARK
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State | NY
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Zip | 11729-5204
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Country | US
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Telephone | 631-586-0555
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Fax | 631-586-0510
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Provider Business Mailing Address
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Address Line | 1681 DEER PARK AVE
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City | DEER PARK
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State | NY
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Zip | 11729-5204
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Country | US
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Telephone | 631-586-0555
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Fax | 631-586-0510
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Authorized Official
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Title or Position | DENTIST
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Name | DR. CHARLES S. HANDELMAN
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Credential | DMD
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Telephone | 631-586-0555
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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 | 046164
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License Number State | NY
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