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General NPI Number Information
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NPI Number | 1598096596
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Entity Type | Organization
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Legal Business Name | CARSON FERRIS-ZEOLLA D.M.D. VICTORIA URYNIAK D.D.S.
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Dates
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Enumeration Date | 01/15/2010
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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 | 908-735-6651
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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 | 908-735-6651
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Authorized Official
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Title or Position | DENTIST/PARTNER
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Name | DR. VICTORIA ANN URYNIAK
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Credential | D.D.S.
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Telephone | 908-735-8188
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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 | 22DI02071702
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License Number State | NJ
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