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General NPI Number Information
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NPI Number | 1023861218
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Entity Type | Organization
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Legal Business Name | BABBIE PEDIATRIC DENTAL
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 3071 E CHESTNUT AVE STE D10
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City | VINELAND
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State | NJ
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Zip | 08361-7847
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Country | US
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Telephone | 856-205-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 3071 E CHESTNUT AVE STE D10
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City | VINELAND
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State | NJ
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Zip | 08361-7847
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | AMANDA COLE
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Credential | DMD
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Telephone | 609-280-5772
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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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