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General NPI Number Information
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NPI Number | 1508051467
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Entity Type | Individual
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Provider Name | HOMA FARIDNIA DDS
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Gender | Female
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 150 N FINLEY AVE
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-1686
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Country | US
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Telephone | 908-766-0434
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Fax | 908-766-0908
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Provider Business Mailing Address
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Address Line | 150 N FINLEY AVE STE 206
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-1686
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Country | US
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Telephone | 908-766-0434
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Fax | 908-766-0908
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 050172-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI20476
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License Number State | NJ
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