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General NPI Number Information
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NPI Number | 1639995483
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Entity Type | Individual
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Provider Name | ELIZABETH HUAMANI
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Gender | Female
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 3333 US HIGHWAY 9
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-2691
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Country | US
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Telephone | 908-377-2417
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Fax |
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Provider Business Mailing Address
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Address Line | 416 W 5TH AVE
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City | ROSELLE
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State | NJ
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Zip | 07203-1858
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Country | US
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Telephone | 908-377-2417
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 22HI01275000
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License Number State | NJ
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