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General NPI Number Information
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NPI Number | 1073972071
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Entity Type | Organization
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Legal Business Name | ANTHONY PINADELLA, DMD, LLC
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Dates
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Enumeration Date | 02/18/2016
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 1149 BLOOMFIELD AVE B1
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City | CLIFTON
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State | NJ
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Zip | 07012-2314
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Country | US
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Telephone | 973-594-1050
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Fax | 973-594-1040
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Provider Business Mailing Address
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Address Line | 1149 BLOOMFIELD AVE B1
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City | CLIFTON
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State | NJ
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Zip | 07012-2314
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Country | US
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Telephone | 973-594-1050
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Fax | 973-594-1040
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANTHONY PINADELLA
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Credential | DMD
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Telephone | 973-594-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI01781000
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License Number State | NJ
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