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General NPI Number Information
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NPI Number | 1124295936
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Entity Type | Organization
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Legal Business Name | ALBERT E. SACCO, D.D.S., P.A.
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 18 AYERS LN
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1201
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Country | US
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Telephone | 732-747-1594
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Fax | 732-747-5442
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Provider Business Mailing Address
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Address Line | 18 AYERS LN
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1201
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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 | PRESIDENT
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Name | DR. ALBERT E. SACCO
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Credential | D.D.S
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Telephone | 732-747-1594
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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 | 8598
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License Number State | NJ
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