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General NPI Number Information
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NPI Number | 1023290566
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Entity Type | Individual
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Provider Name | PETAR HINIC DDS
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Gender | Male
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 155 SUMMIT AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-2856
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Country | US
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Telephone | 908-273-5451
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Fax | 908-273-9474
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Provider Business Mailing Address
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Address Line | 155 SUMMIT AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-2856
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Country | US
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Telephone | 908-273-5451
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Fax | 908-273-9474
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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 | 22DIO2439200
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License Number State | NJ
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