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General NPI Number Information
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NPI Number | 1306702477
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Entity Type | Organization
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Legal Business Name | MARK A. NASR DDS LLC
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Dates
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Enumeration Date | 01/01/2026
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 108 LOCUST AVE
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1658
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Country | US
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Telephone | 732-222-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 108 LOCUST AVE
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1658
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Country | US
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Telephone | 732-222-4357
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. MARK A. NASR
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Credential | D.D.S.
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Telephone | 646-464-2697
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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 |
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License Number State |
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