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General NPI Number Information
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NPI Number | 1063746899
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Entity Type | Individual
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Provider Name | ANDLEEB NAQUVI DDS
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Gender | Female
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Dates
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Enumeration Date | 09/26/2009
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 1301 MAIN ST
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City | ASBURY PARK
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State | NJ
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Zip | 07712-5359
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Country | US
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Telephone | 732-774-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 968 ROBBINSVILLE EDINBURG RD APT 306
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City | ROBBINSVILLE
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State | NJ
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Zip | 08691-4225
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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 |
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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 | DI02548700
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License Number State | NJ
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