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General NPI Number Information
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NPI Number | 1154622959
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Entity Type | Organization
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Legal Business Name | PLAINSBORO FAMILY DENTISTRY, L.L.C.
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 666 PLAINSBORO RD SUITE 616
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3030
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Country | US
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Telephone | 732-841-9726
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Fax |
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Provider Business Mailing Address
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Address Line | 4 MAGNOLIA CT
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City | MONROE
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State | NJ
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Zip | 08831-5930
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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 | OWNER
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Name | DR. SAMIR PATEL
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Credential | D.D.S.
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Telephone | 732-841-9726
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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 | DI023269
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License Number State | NJ
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