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General NPI Number Information
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NPI Number | 1013338177
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Entity Type | Individual
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Provider Name | NALDO BARBAGELATA DMD
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Gender | Male
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Dates
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Enumeration Date | 12/16/2013
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Last Update Date | 12/16/2013
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Provider Practice Location Address
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Address Line | 600 MIDLAND AVE
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City | GARFIELD
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State | NJ
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Zip | 07026-1665
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Country | US
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Telephone | 973-767-2980
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Fax | 973-767-2980
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Provider Business Mailing Address
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Address Line | 970 GARRISON AVE
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City | TEANECK
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State | NJ
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Zip | 07666-2619
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Country | US
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Telephone | 973-914-0639
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02548300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02548300
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License Number State | NJ
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