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General NPI Number Information
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NPI Number | 1598831117
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Entity Type | Organization
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Legal Business Name | R DEL PRIORE DDS PA
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 121 COUNTY ROAD
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City | TENAFLY
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State | NJ
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Zip | 07670
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Country | US
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Telephone | 201-567-6606
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Fax | 201-567-2587
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Provider Business Mailing Address
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Address Line | 121 COUNTY ROAD
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City | TENAFLY
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State | NJ
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Zip | 07670
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Country | US
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Telephone | 201-567-6606
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Fax | 201-567-2587
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RALPH CHARLES DEL PRIORE
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Credential | DDS
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Telephone | 201-567-6606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 22D100726900
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License Number State | NJ
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