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General NPI Number Information
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NPI Number | 1386839603
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Entity Type | Organization
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Legal Business Name | DENDRINOS MEDICAL ASSOCIATES, P.A.
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 05/27/2009
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Provider Practice Location Address
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Address Line | 2020 E CHESTNUT AVE
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City | VINELAND
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State | NJ
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Zip | 08361-8432
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Country | US
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Telephone | 856-563-1600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2268
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City | VINELAND
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State | NJ
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Zip | 08362-2268
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Country | US
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Telephone | 856-205-1273
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Fax |
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Authorized Official
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Title or Position | FAMILY DOCTOR
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Name | DR. GEORGE ARISTIDIS DENDRINOS
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Credential | MD
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Telephone | 856-563-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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