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General NPI Number Information
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NPI Number | 1275873119
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Entity Type | Individual
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Provider Name | DANIEL DIAS OLIVEIRA DMD
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Gender | Male
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Dates
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Enumeration Date | 02/28/2013
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 1907 ROUTE 35 SUITE 4
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City | OAKHURST
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State | NJ
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Zip | 07755-2765
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Country | US
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Telephone | 732-531-8533
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 GRAND AVE APT 1
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City | ASBURY PARK
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State | NJ
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Zip | 07712-6054
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Country | US
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Telephone | 443-610-2252
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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 | 22DI02513100
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License Number State | NJ
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