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General NPI Number Information
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NPI Number | 1386736254
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Entity Type | Individual
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Provider Name | POLINA BARENBAUM DDS
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3585 ROUTE 9 NORTH SUITE 57
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City | FREEHOLD
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State | NJ
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Zip | 07728
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Country | US
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Telephone | 732-780-7222
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Fax |
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Provider Business Mailing Address
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Address Line | 12 LERNARD RD
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City | MANALAPAN
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State | NJ
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Zip | 07726-7912
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Country | US
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Telephone | 732-252-5973
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Fax | 732-780-4707
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 22DI02217200
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License Number State | NJ
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