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General NPI Number Information
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NPI Number | 1346607843
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Entity Type | Organization
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Legal Business Name | VALERIE A. BARBA DDS, LLC
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 2399 HIGHWAY 34 BLDG A4
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City | MANASQUAN
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State | NJ
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Zip | 08736-1500
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Country | US
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Telephone | 732-223-4416
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Fax | 732-223-4435
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Provider Business Mailing Address
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Address Line | 2399 HIGHWAY 34 BLDG A4
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City | MANASQUAN
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State | NJ
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Zip | 08736-1500
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Country | US
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Telephone | 732-223-4416
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Fax | 732-223-4435
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Authorized Official
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Title or Position | OWNER
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Name | DR. VALERIE A. BARBA
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Credential | DDS
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Telephone | 732-223-4416
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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 | DI 18282
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License Number State | NJ
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