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General NPI Number Information
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NPI Number | 1083910657
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Entity Type | Individual
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Provider Name | DANIEL GEORGE MARULLI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 44 NEW AMWELL RD
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-5018
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Country | US
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Telephone | 908-359-8500
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Fax | 908-359-8285
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Provider Business Mailing Address
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Address Line | 44 NEW AMWELL RD
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-5018
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Country | US
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Telephone | 908-359-8500
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Fax | 908-359-8285
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22DI01331800
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License Number State | NJ
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