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General NPI Number Information
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NPI Number | 1316689540
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Entity Type | Individual
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Provider Name | JENNIFER BELLA SHAHAR DDS
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Gender | Female
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 110 E 87TH ST
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City | NEW YORK
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State | NY
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Zip | 10128-4101
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Country | US
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Telephone | 212-369-2213
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Fax |
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Provider Business Mailing Address
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Address Line | 15 PICATINNY RD
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4813
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Country | US
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Telephone | 973-223-8902
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 064674
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License Number State | NY
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