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General NPI Number Information
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NPI Number | 1417165507
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Entity Type | Organization
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Legal Business Name | EXCELDENT DENTAL OF PLAINSBORO, LLP
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Dates
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Enumeration Date | 05/20/2007
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Last Update Date | 04/09/2009
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Provider Practice Location Address
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Address Line | 666 PLAINSBORO RD SUITE 616
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3030
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Country | US
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Telephone | 609-799-7766
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Fax | 609-799-7765
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Provider Business Mailing Address
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Address Line | 666 PLAINSBORO RD SUITE 616
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3030
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Country | US
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Telephone | 609-799-7766
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Fax | 609-799-7765
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISS ROBBIE BEYER
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Credential |
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Telephone | 609-799-7766
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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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