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NPI 1154442622

NPI 1154442622 : FRANK TRIFILETTI D.D.S.,P.A. : CHERRY HILL, NJ

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General NPI Number Information
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    NPI Number           |    1154442622
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    Entity Type          |    Individual 
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    Provider Name        |    FRANK TRIFILETTI D.D.S.,P.A.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/03/2007
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    Last Update Date     |    01/29/2019
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Provider Practice Location Address
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    Address Line         |    1765 SPRINGDALE RD 
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    City                 |    CHERRY HILL
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    State                |    NJ
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    Zip                  |    08003-2177
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    Country              |    US
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    Telephone            |    856-424-0170
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    Fax                  |    856-728-3907
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Provider Business Mailing Address
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    Address Line         |    1765 SPRINGDALE RD 
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    City                 |    CHERRY HILL
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    State                |    NJ
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    Zip                  |    08003-2177
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    Country              |    US
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    Telephone            |    856-424-0170
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    Fax                  |    856-728-3907
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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       |    22D100903100
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    License Number State |    NJ
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