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General NPI Number Information
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NPI Number | 1053448928
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Entity Type | Individual
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Provider Name | ABRAHAM M SPEISER DDS
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 60 PARK PL SUITE 1107
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City | NEWARK
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State | NJ
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Zip | 07102-5511
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Country | US
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Telephone | 973-732-3208
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Fax | 973-732-3207
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Provider Business Mailing Address
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Address Line | 60 PARK PL SUITE 1107
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City | NEWARK
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State | NJ
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Zip | 07102-5511
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Country | US
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Telephone | 973-732-3208
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Fax | 973-732-3207
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22D100918700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 029107
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License Number State | NY
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