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NPI 1023488129

NPI 1023488129 : MANISHA SINGH DMD : MANALAPAN, NJ

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General NPI Number Information
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    NPI Number           |    1023488129
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    Entity Type          |    Individual 
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    Provider Name        |    MANISHA SINGH DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/01/2015
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    Last Update Date     |    09/17/2020
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Provider Practice Location Address
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    Address Line         |    120 ROUTE 33 
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    City                 |    MANALAPAN
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    State                |    NJ
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    Zip                  |    07726-8477
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    Country              |    US
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    Telephone            |    732-414-2002
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    18 LEUPP LN 
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    City                 |    SOMERSET
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    State                |    NJ
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    Zip                  |    08873-2959
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    Country              |    US
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    Telephone            |    425-495-4329
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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       |    DS040637
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    License Number State |    PA
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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       |    22DI02653400
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    License Number State |    NJ
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