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General NPI Number Information
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NPI Number | 1235763343
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Entity Type | Individual
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Provider Name | RICHARD D'AVANZO DMD
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Gender | Male
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | 2230 ROUTE 206
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City | BELLE MEAD
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State | NJ
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Zip | 08502-4020
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Country | US
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Telephone | 908-874-8360
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Fax |
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Provider Business Mailing Address
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Address Line | 14 BURNISTON CT
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-2328
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Country | US
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Telephone | 609-709-0107
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22DI01673500
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License Number State | NJ
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