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General NPI Number Information
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NPI Number | 1063752822
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Entity Type | Individual
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Provider Name | NIKOLAOS KRITHARIS DMD
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Gender | Male
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 02/15/2013
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Provider Practice Location Address
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Address Line | 29 STATE ROUTE 23
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City | HAMBURG
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State | NJ
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Zip | 07419
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Country | US
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Telephone | 201-572-3420
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Fax |
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Provider Business Mailing Address
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Address Line | 36 ESSEX RD
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City | PARSIPPANY
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State | NJ
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Zip | 07054-2661
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Country | US
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Telephone | 201-572-3420
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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 | 22DI02523300
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License Number State | NJ
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