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General NPI Number Information
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NPI Number | 1134854771
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Entity Type | Individual
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Provider Name | JOSEPH SCHIELS DDS
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Gender | Male
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 36 PROGRESS ST STE A4
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City | EDISON
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State | NJ
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Zip | 08820-1197
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Country | US
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Telephone | 908-222-8228
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Fax |
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Provider Business Mailing Address
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Address Line | 12 ELLINGHAM AVE
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City | MONROE
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State | NJ
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Zip | 08831-2421
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Country | US
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Telephone | 908-705-2768
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Fax |
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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 | 22DI02917900
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License Number State | NJ
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