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General NPI Number Information
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NPI Number | 1043526163
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Entity Type | Individual
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Provider Name | HARPREET K DHALIWAL D.D.S
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Gender | Female
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 01/25/2018
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Provider Practice Location Address
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Address Line | 4255 AMBOY RD
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City | STATEN ISLAND
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State | NY
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Zip | 10308-2308
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Country | US
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Telephone | 718-682-3373
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Fax | 888-644-6499
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Provider Business Mailing Address
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Address Line | 3 CHRISTOPHER ST
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City | CARTERET
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State | NJ
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Zip | 07008-3103
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Country | US
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Telephone | 732-322-4141
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 055197-1
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License Number State | NY
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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 | 055197
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License Number State | NY
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