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General NPI Number Information
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NPI Number | 1386069862
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Entity Type | Organization
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Legal Business Name | ALLURE DENTAL CARE
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 02/20/2014
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Provider Practice Location Address
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Address Line | 102-104 PROSPECT STREET
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City | PASSAIC
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State | NJ
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Zip | 07055
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Country | US
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Telephone | 862-238-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 102-104 PROSPECT STREET
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City | PASSAIC
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State | NJ
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Zip | 07055
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Country | US
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Telephone | 862-238-8300
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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. AMY ROJAS
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Credential | DMD
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Telephone | 862-238-8300
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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 | 22DI02361600
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License Number State | NJ
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