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General NPI Number Information
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NPI Number | 1487901799
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Entity Type | Organization
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Legal Business Name | SOMERSET HILLS ENDODONTICS, PC
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 1392 ROUTE 22 WEST SUITE 2
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City | LEBANON
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State | NJ
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Zip | 08833
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Country | US
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Telephone | 908-766-3535
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Fax | 908-840-4578
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Provider Business Mailing Address
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Address Line | 1392 ROUTE 22 WEST SUITE 2
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City | LEBANON
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State | NJ
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Zip | 08833
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Country | US
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Telephone | 908-840-4590
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Fax | 908-840-4578
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Authorized Official
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Title or Position | OWNER
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Name | DR. IRINA LEKHT
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Credential |
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Telephone | 908-840-4590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 21264
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License Number State | NJ
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