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General NPI Number Information
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NPI Number | 1639090442
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Entity Type | Individual
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Provider Name | MOHAMMAD ALBONDOGJI
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Gender | Male
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 28 BOWLING GREEN PKWY STE 2B
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City | LAKE HOPATCONG
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State | NJ
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Zip | 07849-2445
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Country | US
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Telephone | 908-434-8510
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Fax |
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Provider Business Mailing Address
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Address Line | 11 PATERSON AVE
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City | HALEDON
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State | NJ
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Zip | 07508-1019
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Country | US
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Telephone | 862-220-3442
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI03165000
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License Number State | NJ
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