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General NPI Number Information
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NPI Number | 1164858312
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Entity Type | Organization
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Legal Business Name | BELBAR DENTAL ASSOCIATES
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 812 HAMILTON ST
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City | SOMERSET
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State | NJ
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Zip | 08873-3157
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Country | US
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Telephone | 732-846-2494
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Fax | 732-846-9397
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Provider Business Mailing Address
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Address Line | 812 HAMILTON ST
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City | SOMERSET
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State | NJ
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Zip | 08873-3157
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Country | US
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Telephone | 732-846-2494
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Fax | 732-846-9397
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREA M BARRETT
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Credential | DDS
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Telephone | 732-846-2494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI01528700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI01534800
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License Number State | NJ
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