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General NPI Number Information
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NPI Number | 1639493125
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Entity Type | Organization
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Legal Business Name | A&M DENTAL ARTS PC
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 120 ROUTE 33
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City | MANALAPAN
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State | NJ
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Zip | 07726-8303
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Country | US
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Telephone | 732-414-2002
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Fax | 732-358-0254
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Provider Business Mailing Address
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Address Line | 120 ROUTE 33 WEST
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City | MANALAPAN
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State | NJ
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Zip | 07726-8303
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Country | US
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Telephone | 732-414-2002
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Fax | 732-358-0254
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ALEXANDER MILMAN
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Credential | DDS
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Telephone | 732-414-2002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 22DI02151903
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License Number State | NJ
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