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General NPI Number Information
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NPI Number | 1518981208
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Entity Type | Organization
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Legal Business Name | BERNARD J. BLUTFIELD DDS PA
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 229 SPRINGFIELD AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-1018
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Country | US
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Telephone | 908-232-8749
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Fax |
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Provider Business Mailing Address
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Address Line | 229 SPRINGFIELD AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-1018
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Country | US
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Telephone | 908-232-8749
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN BLUTFIELD
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Credential | D.M.D.
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Telephone | 908-232-8749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 14698
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License Number State | NJ
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