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General NPI Number Information
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NPI Number | 1598923187
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Entity Type | Organization
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Legal Business Name | EASTERN DENTAL OF PARSIPPANY, LLC
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 2936 ROUTE 10 WEST
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City | PARSIPPANY
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State | NJ
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Zip | 07950-1244
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Country | US
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Telephone | 973-292-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 2936 ROUTE 10 WEST
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City | PARSIPPANY
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State | NJ
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Zip | 07950-1244
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Country | US
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Telephone | 973-292-2550
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DENTAL DIRECTOR
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Name | AARON FEILER
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Credential | D.D.S
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Telephone | 973-292-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 10967
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 20509
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License Number State | NJ
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