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NPI 1043621253

NPI 1043621253 : NEW JERSEY SMILES OF RAMSEY : RAMSEY, NJ

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General NPI Number Information
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    NPI Number           |    1043621253
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW JERSEY SMILES OF RAMSEY 
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Dates
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    Enumeration Date     |    05/12/2014
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    Last Update Date     |    05/12/2014
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Provider Practice Location Address
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    Address Line         |    246 N. FRANKLIN TURNPIKE 3B
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    City                 |    RAMSEY
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    State                |    NJ
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    Zip                  |    07446
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    Country              |    US
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    Telephone            |    732-395-7560
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    88 JERSEY AVENUE 
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    City                 |    EDISON
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    State                |    NJ
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    Zip                  |    08820
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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    |    PARTNER
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    Name                 |     HARDEEK  PATEL 
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    Credential           |    DDS
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    Telephone            |    732-395-7560
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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       |    2291700
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    License Number State |    NJ
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