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General NPI Number Information
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NPI Number | 1558373225
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Entity Type | Individual
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Provider Name | THOMAS S DILAURO DMD
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 DE MERCURIO DR SUITE 7
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City | ALLENDALE
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State | NJ
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Zip | 07401-1717
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Country | US
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Telephone | 201-825-9229
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Fax | 201-934-1820
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Provider Business Mailing Address
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Address Line | 1 DE MERCURIO DRIVE SUITE 7
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City | ALLENDALE
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State | NJ
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Zip | 07401-1717
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Country | US
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Telephone | 201-825-9229
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Fax | 201-934-1820
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DI011388
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License Number State | NJ
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