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General NPI Number Information
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NPI Number | 1992921993
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Entity Type | Individual
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Provider Name | ARTHUR WARREN KUPPERMAN D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16 VAN COTT RD
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City | DEER PARK
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State | NY
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Zip | 11729-6519
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Country | US
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Telephone | 631-242-8388
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Fax | 631-242-8375
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Provider Business Mailing Address
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Address Line | 18 BROOK LN
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City | GLEN HEAD
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State | NY
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Zip | 11545-3136
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Country | US
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Telephone | 516-626-3465
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Fax | 516-626-0917
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 030644
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License Number State | NY
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