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General NPI Number Information
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NPI Number | 1104611599
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Entity Type | Organization
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Legal Business Name | TANNAZ MALEKIAN DMD LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1 ROBERTSON DR STE 12
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City | BEDMINSTER
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State | NJ
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Zip | 07921-1716
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Country | US
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Telephone | 908-470-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 ANTHONY WAY UNIT 4207
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City | ROCKAWAY
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State | NJ
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Zip | 07866-1241
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PEDIATRCI DENTIST
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Name | DR. TANNAZ MALEKIAN
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Credential | DMD
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Telephone | 609-937-1454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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