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General NPI Number Information
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NPI Number | 1073675575
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Entity Type | Organization
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Legal Business Name | DRS EISENBERG OF FREEHOLD PA
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 495 IRON BRIDGE ROAD
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City | FREEHOLD
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State | NJ
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Zip | 07728
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Country | US
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Telephone | 732-294-0404
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Fax | 732-294-0406
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Provider Business Mailing Address
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Address Line | 495 IRON BRIDGE ROAD
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City | FREEHOLD
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State | NJ
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Zip | 07728
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Country | US
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Telephone | 732-294-0404
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Fax | 732-294-0406
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Authorized Official
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Title or Position | DENTIST
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Name | ADAM G EISENBERG
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Credential |
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Telephone | 609-520-0404
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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 | 16568
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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 | 16495
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 16220
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License Number State | NJ
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