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General NPI Number Information
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NPI Number | 1649446063
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Entity Type | Individual
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Provider Name | BAQIR JAFFERY DMD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 366 LINCOLN AVE N
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2343
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Country | US
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Telephone | 973-563-9860
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Fax |
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Provider Business Mailing Address
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Address Line | 366 LINCOLN AVE N
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2343
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Country | US
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Telephone | 973-563-9860
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 213L2421
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License Number State | NJ
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