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General NPI Number Information
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NPI Number | 1336467802
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Entity Type | Organization
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Legal Business Name | JANEEN B. FERRARO, DDS, LLC
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Dates
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Enumeration Date | 05/09/2010
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Last Update Date | 05/09/2010
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Provider Practice Location Address
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Address Line | 167 AVENUE AT THE CMN SUITE 16
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4805
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Country | US
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Telephone | 732-935-0905
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Fax | 732-935-0899
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Provider Business Mailing Address
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Address Line | 167 AVENUE AT THE CMN SUITE 16
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4805
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Country | US
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Telephone | 732-935-0905
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Fax | 732-935-0899
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JANEEN BISHOP FERRARO
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Credential | D.D.S.
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Telephone | 732-935-0905
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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 | 22DIO2253100
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License Number State | NJ
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