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General NPI Number Information
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NPI Number | 1518028026
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Entity Type | Organization
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Legal Business Name | R&S DENTAL ASSOCIATES P C
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 400 BROAD ST
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City | CLIFTON
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State | NJ
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Zip | 07013
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Country | US
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Telephone | 973-478-4111
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Fax | 973-807-0514
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Provider Business Mailing Address
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Address Line | 400 BROAD ST
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City | CLIFTON
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State | NJ
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Zip | 07013
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Country | US
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Telephone | 973-478-4111
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Fax | 973-807-0514
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Authorized Official
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Title or Position | SOLE OWNER
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Name | MIKHAIL SHULMAN
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Credential | DDS
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Telephone | 973-478-4111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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