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General NPI Number Information
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NPI Number | 1649429325
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Entity Type | Organization
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Legal Business Name | DANIEL R KORB, DDS, PA
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 1 RASKIN ROAD DANIEL R. KORB D.D.S., PA
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City | MORRISTOWN
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State | NJ
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Zip | 07960-2822
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Country | US
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Telephone | 973-540-1460
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Fax | 973-540-9190
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Provider Business Mailing Address
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Address Line | 1 RASKIN ROAD DANIEL R. KORB D.D.S., PA
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City | MORRISTOWN
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State | NJ
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Zip | 07960-2822
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Country | US
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Telephone | 973-540-1460
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Fax | 973-540-9190
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Authorized Official
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Title or Position | PRESIDENT, DENTIST
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Name | DR. DANIEL R KORB SR.
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Credential | D.D.S.
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Telephone | 973-540-1460
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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 | 22D100865201
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License Number State | NJ
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