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General NPI Number Information
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NPI Number | 1083056071
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Entity Type | Organization
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Legal Business Name | BRIGHT SMILE DENTAL CARE
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 39 LITTLETON RD
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City | PARSIPPANY
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State | NJ
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Zip | 07054-2801
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Country | US
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Telephone | 973-334-0014
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Fax |
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Provider Business Mailing Address
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Address Line | 39 LITTLETON RD
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City | PARSIPPANY
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State | NJ
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Zip | 07054-2801
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Country | US
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Telephone | 973-334-0014
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. WILLIAM F SORVINO
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Credential | DMD
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Telephone | 973-334-0014
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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 | 19463
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License Number State | NJ
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