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General NPI Number Information
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NPI Number | 1295449353
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Entity Type | Individual
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Provider Name | TASKEEN BAINS DDS
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Gender | Female
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 1361 SAINT GEORGES AVE
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City | RAHWAY
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State | NJ
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Zip | 07065-2760
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Country | US
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Telephone | 732-381-8968
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Fax |
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Provider Business Mailing Address
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Address Line | 18 COPPERFIELD WAY
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City | MAHWAH
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State | NJ
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Zip | 07430-3200
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Country | US
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Telephone |
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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 | 22D102924700
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License Number State | NJ
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