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General NPI Number Information
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NPI Number | 1023745502
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Entity Type | Organization
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Legal Business Name | MARGIN DENTAL SOLUTIONS, PC
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 113 E PASSAIC ST
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City | MAYWOOD
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State | NJ
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Zip | 07607-1342
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Country | US
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Telephone | 201-546-8025
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Fax | 201-880-1141
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Provider Business Mailing Address
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Address Line | 113 E PASSAIC ST
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City | MAYWOOD
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State | NJ
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Zip | 07607-1342
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Country | US
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Telephone | 201-546-8025
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Fax | 201-880-1141
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACOB SHRAYMAN
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Credential | DDS
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Telephone | 201-213-0214
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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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