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General NPI Number Information
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NPI Number | 1346133741
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Entity Type | Organization
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Legal Business Name | PRESTIGE-FIRST MOUNTAIN COMPANY LLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 31 S FULLERTON AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3455
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Country | US
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Telephone | 973-746-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 4 PONDS EDGE LN
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City | WARREN
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State | NJ
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Zip | 07059-6849
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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 | CEO
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Name | DR. KARANDEEP BRAR
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Credential |
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Telephone | 848-219-9197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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