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General NPI Number Information
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NPI Number | 1467671644
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Entity Type | Organization
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Legal Business Name | STACI BOCKSTEIN FRANKOWITZ, D.M.D., P.A.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 101 CEDAR LANE
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City | TEANECK
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State | NJ
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Zip | 07666
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Country | US
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Telephone | 201-836-7788
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Fax | 201-836-7787
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Provider Business Mailing Address
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Address Line | 101 CEDAR LANE
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City | TEANECK
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State | NJ
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Zip | 07666
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Country | US
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Telephone | 201-836-7788
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Fax | 201-836-7787
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Authorized Official
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Title or Position | ORTHODONTIST/PRESIDENT
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Name | DR. STACI BOCKSTEIN FRANKOWITZ
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Credential | D.M.D
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Telephone | 201-836-7788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22DI00787500
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License Number State | NJ
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