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General NPI Number Information
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NPI Number | 1275703795
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Entity Type | Organization
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Legal Business Name | GENTLE CARING DENTISTRY, P.A.
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 201 S LIVINGSTON AVE SUITE 2 C
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4043
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Country | US
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Telephone | 973-994-3112
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Fax |
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Provider Business Mailing Address
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Address Line | 201 S LIVINGSTON AVE SUITE 2 C
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4043
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Country | US
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Telephone | 973-994-3112
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINDA E. STONE
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Credential | D.M.D
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Telephone | 973-994-3112
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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 | 22DI01354200
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License Number State | NJ
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