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General NPI Number Information
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NPI Number | 1265765671
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Entity Type | Organization
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Legal Business Name | ALLIED ORTHODONTICS P.C.
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 1219 MAIN AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-2241
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Country | US
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Telephone | 973-473-0900
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Fax | 973-772-3989
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Provider Business Mailing Address
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Address Line | 401 COMMERCE DR SUITE 108
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City | FORT WASHINGTON
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State | PA
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Zip | 19034-2714
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Country | US
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Telephone | 215-525-0105
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Fax | 215-646-6369
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Authorized Official
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Title or Position | OWNER
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Name | NIRANJAN SAVANI
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Credential | DMD
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Telephone | 973-473-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DI02012800
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License Number State | NJ
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