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General NPI Number Information
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NPI Number | 1326137449
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Entity Type | Individual
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Provider Name | IRINA ROZENBLIT DDS
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 35 S MAIN ST
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City | MANVILLE
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State | NJ
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Zip | 08835-1801
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Country | US
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Telephone | 908-725-0900
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Fax | 908-725-0907
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Provider Business Mailing Address
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Address Line | 28 COBBLEWOOD RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-2037
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Country | US
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Telephone | 973-740-9187
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Fax | 973-740-0935
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI02018500
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License Number State | NJ
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