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General NPI Number Information
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NPI Number | 1346984689
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Entity Type | Organization
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Legal Business Name | PABLO ACUNA DENTAL GROUP, LLC
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 180 WASHINGTON AVE FL 2
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City | BELLEVILLE
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State | NJ
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Zip | 07109-2541
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Country | US
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Telephone | 973-600-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 31 ELMBROOK PL
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-3114
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Country | US
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Telephone | 973-600-2505
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. PABLO R. ACUNA
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Credential | DDS
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Telephone | 973-600-2505
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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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