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General NPI Number Information
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NPI Number | 1366157471
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Entity Type | Organization
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Legal Business Name | ANTHONY J CALANDRA JR D M D LLC
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 100 HERITAGE VALLEY DR STE 3
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City | SEWELL
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State | NJ
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Zip | 08080-1752
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Country | US
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Telephone | 856-582-5555
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Fax | 856-582-7556
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Provider Business Mailing Address
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Address Line | 100 HERITAGE VALLEY DR STE 3
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City | SEWELL
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State | NJ
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Zip | 08080-1752
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Country | US
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Telephone | 856-582-5555
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Fax | 856-582-7556
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ANTHONY J CALANDRA JR.
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Credential | DMD
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Telephone | 856-582-5555
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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 |
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License Number State |
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