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General NPI Number Information
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NPI Number | 1457214868
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Entity Type | Organization
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Legal Business Name | SADDLE BROOK RADIANCE
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 189 US HIGHWAY 46
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City | SADDLE BROOK
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State | NJ
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Zip | 07663-6215
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Country | US
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Telephone | 973-932-4422
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Fax | 201-602-5080
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Provider Business Mailing Address
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Address Line | 26 SQUIRE HILL RD
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City | LONG VALLEY
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State | NJ
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Zip | 07853-3223
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Country | US
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Telephone | 201-602-5080
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AWS DARALDIK
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Credential | DDS
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Telephone | 973-932-4422
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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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