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General NPI Number Information
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NPI Number | 1417637380
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Entity Type | Organization
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Legal Business Name | EMD ENGLEWOOD, LLC
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 460 ENGLE ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-1829
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Country | US
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Telephone | 201-501-8282
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Fax |
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Provider Business Mailing Address
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Address Line | 323 E MADISON AVE
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City | CRESSKILL
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State | NJ
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Zip | 07626-1743
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Country | US
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Telephone | 201-981-1260
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. NARPAT S JAIN
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Credential | DMD
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Telephone | 201-501-8282
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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 |
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License Number State |
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