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General NPI Number Information
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NPI Number | 1518177377
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Entity Type | Organization
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Legal Business Name | JOSEPH POLINSKY DMD LLC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 301 MADISON AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3266
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Country | US
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Telephone | 732-363-0177
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Fax | 732-363-0115
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Provider Business Mailing Address
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Address Line | 301 MADISON AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3266
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Country | US
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Telephone | 732-363-0177
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Fax | 732-363-0115
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH POLINSKY
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Credential | DMD
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Telephone | 732-363-0177
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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 |
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License Number State |
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