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General NPI Number Information
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NPI Number | 1063827038
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Entity Type | Organization
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Legal Business Name | JOSHUA GOLDFEIN ENDODONTICS, LLC
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 401A S VAN BRUNT ST SUITE 402
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4600
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Country | US
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Telephone | 201-354-6201
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Fax | 201-354-6202
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Provider Business Mailing Address
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Address Line | 141 ESSEX DR
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City | TENAFLY
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State | NJ
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Zip | 07670-2331
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Country | US
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Telephone | 201-888-7811
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. JOSHUA AARON GOLDFEIN
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Credential | D.M.D.
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Telephone | 201-888-7811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DI02479600
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License Number State | NJ
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