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General NPI Number Information
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NPI Number | 1639417538
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Entity Type | Organization
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Legal Business Name | DS DENTAL ASSOCIATES P.C.
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 01/28/2013
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Provider Practice Location Address
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Address Line | 16 POCONO RD SUITE 116
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City | DENVILLE
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State | NJ
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Zip | 07834-2901
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Country | US
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Telephone | 973-627-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 16 POCONO RD SUITE 116
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City | DENVILLE
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State | NJ
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Zip | 07834-2901
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Country | US
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Telephone | 973-627-1220
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CRAIG ABRAMOWITZ
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Credential | DDS
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Telephone | 201-303-5648
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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 |
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License Number State |
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