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General NPI Number Information
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NPI Number | 1386086783
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Entity Type | Organization
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Legal Business Name | APPELBAUM ENDODONTICS, LLC
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 1 PROFESSIONAL QUADRANGLE
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City | SPARTA
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State | NJ
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Zip | 07871-2330
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Country | US
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Telephone | 973-598-3450
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Fax | 973-598-3455
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Provider Business Mailing Address
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Address Line | 1 PROFESSIONAL QUADRANGLE
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City | SPARTA
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State | NJ
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Zip | 07871-2330
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Country | US
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Telephone | 973-598-3450
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Fax | 973-598-3455
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. KEITH APPELBAUM
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Credential | DMD, MS
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Telephone | 973-600-0725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 22DI02411400
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License Number State | NJ
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