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General NPI Number Information
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NPI Number | 1275677304
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Entity Type | Individual
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Provider Name | JAMES JOSEPH SCILLIERI D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19 YAWPO AVE.
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City | OAKLAND
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State | NJ
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Zip | 07436
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Country | US
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Telephone | 201-337-4151
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Fax | 201-337-5457
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Provider Business Mailing Address
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Address Line | 9 FAIRVIEW TER
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City | WAYNE
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State | NJ
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Zip | 07470-4304
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Country | US
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Telephone | 973-694-4299
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Fax | 201-337-5457
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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 | DI15139
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License Number State | NJ
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