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General NPI Number Information
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NPI Number | 1265731020
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Entity Type | Individual
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Provider Name | NESRINE BESTANDJI D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2011
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 100 CANAL POINTE BLVD STE 116
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City | PRINCETON
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State | NJ
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Zip | 08540-7123
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Country | US
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Telephone | 609-452-8630
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Fax | 609-452-1688
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Provider Business Mailing Address
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Address Line | 1044 MADISON HILL RD
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City | CLARK
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State | NJ
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Zip | 07066-3244
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Country | US
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Telephone | 732-396-1504
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02466900
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License Number State | NJ
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