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General NPI Number Information
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NPI Number | 1568895779
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Entity Type | Organization
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Legal Business Name | ALLRIGHT DENTAL OF EDISON, PC
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 1719 LINCOLN HIGHWAY EDISON HEALTHCARE CENTER
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City | EDISON
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State | NJ
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Zip | 08817
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Country | US
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Telephone | 732-339-0328
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Fax |
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Provider Business Mailing Address
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Address Line | 1719 LINCOLN HIGHWAY EDISON HEALTHCARE CENTER
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City | EDISON
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State | NJ
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Zip | 08817
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. HARITHA SAMBARAJU
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Credential | DDS
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Telephone | 21529513489
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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 | 22D102328600
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License Number State | NJ
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