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General NPI Number Information
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NPI Number | 1144955360
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Entity Type | Individual
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Provider Name | BRIAN KOYFMAN DDS
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Gender | Male
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 345 US HIGHWAY 9
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City | MANALAPAN
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State | NJ
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Zip | 07726-3239
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Country | US
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Telephone | 732-462-0430
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Fax |
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Provider Business Mailing Address
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Address Line | 43 HILLSDALE RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-4317
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Country | US
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Telephone | 347-607-7792
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02920600
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License Number State | NJ
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