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General NPI Number Information
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NPI Number | 1053555300
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Entity Type | Organization
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Legal Business Name | ADMSA L.L.C.
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Dates
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Enumeration Date | 04/29/2009
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Last Update Date | 04/29/2009
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Provider Practice Location Address
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Address Line | 315 E NORTHFIELD RD STE 2F
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4800
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Country | US
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Telephone | 973-597-9010
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Fax | 973-597-9008
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Provider Business Mailing Address
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Address Line | 315 E NORTHFIELD RD STE 2F
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4800
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Country | US
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Telephone | 973-597-9010
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Fax | 973-597-9008
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Authorized Official
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Title or Position | PARTNER
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Name | DR. ZEV SEGAL
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Credential | D.D.S.
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Telephone | 973-597-9010
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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 | 22DI01903100
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License Number State | NJ
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