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General NPI Number Information
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NPI Number | 1053173369
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Entity Type | Organization
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Legal Business Name | MANAL KAZI DMD, LLC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 65 E NORTHFIELD RD STE C
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4525
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Country | US
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Telephone | 973-500-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 65 E NORTHFIELD RD STE C
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4525
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Country | US
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Telephone | 973-500-4440
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MANAL KAZI
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Credential | DMD
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Telephone | 973-960-9170
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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 |
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License Number State |
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