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General NPI Number Information
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NPI Number | 1528184348
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Entity Type | Individual
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Provider Name | CARSON FERRIS-ZEOLLA DMD
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 1484 STATE ROUTE 31 N
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City | ANNANDALE
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State | NJ
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Zip | 08801-3125
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Country | US
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Telephone | 908-735-8188
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Fax |
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Provider Business Mailing Address
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Address Line | 1484 STATE ROUTE 31 N
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City | ANNANDALE
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State | NJ
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Zip | 08801-3125
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Country | US
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Telephone | 908-735-8188
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Fax |
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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 | 02072700
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License Number State | NJ
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