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General NPI Number Information
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NPI Number | 1033252978
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Entity Type | Organization
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Legal Business Name | CALIBER DENTAL
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 447 STATE ROUTE 10 SUITE 3
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City | RANDOLPH
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State | NJ
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Zip | 07869-2132
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Country | US
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Telephone | 973-537-7500
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Fax | 973-537-7400
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Provider Business Mailing Address
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Address Line | 447 STATE ROUTE 10 SUITE 3
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City | RANDOLPH
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State | NJ
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Zip | 07869-2132
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Country | US
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Telephone | 973-537-7500
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Fax | 973-537-7400
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PREETMOHINDER S BAGGA
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Credential | D.M.D.
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Telephone | 973-537-7500
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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 | DI018985
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License Number State | NJ
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