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General NPI Number Information
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NPI Number | 1407286370
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Entity Type | Organization
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Legal Business Name | BARBA FAMILY DENTAL LLC
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 600 MIDLAND AVE
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City | GARFIELD
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State | NJ
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Zip | 07026-1665
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Country | US
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Telephone | 973-767-2980
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Fax |
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Provider Business Mailing Address
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Address Line | 600 MIDLAND AVE
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City | GARFIELD
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State | NJ
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Zip | 07026-1665
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Country | US
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Telephone | 973-767-2980
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. NALDO BARBAGELATA
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Credential | DMD
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Telephone | 973-767-2980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 22D102548300
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License Number State | NJ
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