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General NPI Number Information
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NPI Number | 1235706920
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Entity Type | Individual
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Provider Name | NILIKA GULATI DMD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 64 BRIDGE AVE # 66
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City | RED BANK
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State | NJ
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Zip | 07701-6433
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Country | US
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Telephone | 732-219-6620
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Fax |
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Provider Business Mailing Address
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Address Line | 64 W GEORGE PL
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City | ISELIN
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State | NJ
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Zip | 08830-1145
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Country | US
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Telephone | 908-487-1213
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02881000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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