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General NPI Number Information
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NPI Number | 1023744851
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Entity Type | Organization
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Legal Business Name | MORGANVILLE DENTAL ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 4002 US HIGHWAY 9
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1577
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Country | US
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Telephone | 732-970-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 4002 US HIGHWAY 9
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1577
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Country | US
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Telephone | 732-970-0900
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. BERT CHAN
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Credential | DDS
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Telephone | 347-219-5681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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