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General NPI Number Information
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NPI Number | 1275645350
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Entity Type | Organization
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Legal Business Name | JOHN F. RAZIANO D.M.D. ,PA
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1130 US HIGHWAY 202 SUITE B-2
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City | RARITAN
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State | NJ
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Zip | 08869-1490
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Country | US
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Telephone | 908-722-8256
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Fax | 908-722-8499
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Provider Business Mailing Address
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Address Line | 1130 US HIGHWAY 202 SUITE B-2
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City | RARITAN
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State | NJ
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Zip | 08869-1490
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Country | US
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Telephone | 908-722-8256
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Fax | 908-722-8499
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JOHN F. RAZIANO
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Credential | D.M.D.
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Telephone | 908-722-8256
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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 | 22DI01688800
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License Number State | NJ
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