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General NPI Number Information
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NPI Number | 1467791277
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Entity Type | Individual
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Provider Name | DANIEL ROSS DINOWITZ D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 230 US HIGHWAY 206 BUILDING 3
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City | FLANDERS
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State | NJ
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Zip | 07836-9189
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Country | US
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Telephone | 973-927-2260
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Fax |
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Provider Business Mailing Address
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Address Line | 124 MICKI DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1659
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Country | US
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Telephone | 732-615-7722
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22DI02540700
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License Number State | NJ
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