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General NPI Number Information
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NPI Number | 1013069244
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Entity Type | Individual
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Provider Name | NATHALIE ZENIAN-MCOMBER DDS
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 702 CANDLEWOOD COMMONS
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City | HOWELL
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State | NJ
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Zip | 07731-2174
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Country | US
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Telephone | 732-901-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 87 AMBASSADOR DR
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City | RED BANK
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State | NJ
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Zip | 07701-2292
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Country | US
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Telephone |
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02268401
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License Number State | NJ
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