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General NPI Number Information
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NPI Number | 1013218015
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Entity Type | Organization
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Legal Business Name | THE DENTAL FAMILY
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Dates
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Enumeration Date | 11/06/2010
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Last Update Date | 11/06/2010
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Provider Practice Location Address
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Address Line | 138 ELMER ST
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City | WESTFIELD
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State | NJ
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Zip | 07090-2126
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Country | US
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Telephone | 908-232-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 138 ELMER ST
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City | WESTFIELD
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State | NJ
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Zip | 07090-2126
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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 | DENTIST/OWNER
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Name | BRETT DRUGER
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Credential | DMD
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Telephone | 908-232-9300
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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 | 22DI02415300
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License Number State | NJ
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