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General NPI Number Information
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NPI Number | 1396540597
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Entity Type | Organization
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Legal Business Name | EVERBRIGHT DENTAL
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 838 ALEXANDER RD
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City | PRINCETON
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State | NJ
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Zip | 08540-6304
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Country | US
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Telephone | 609-834-4032
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Fax |
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Provider Business Mailing Address
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Address Line | 838 ALEXANDER RD
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City | PRINCETON
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State | NJ
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Zip | 08540-6304
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Country | US
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Telephone | 609-834-4032
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | NIDA MAHMOOD
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Credential | DMD
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Telephone | 908-327-7776
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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 |
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License Number State |
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