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General NPI Number Information
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NPI Number | 1659560159
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Entity Type | Individual
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Provider Name | MARVIN M FAND DMD
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Gender | Male
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 12/21/2025
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Provider Practice Location Address
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Address Line | 138 BEACON ST
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City | HAWORTH
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State | NJ
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Zip | 07641-1904
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Country | US
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Telephone | 201-384-3515
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Fax | 201-384-3515
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Provider Business Mailing Address
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Address Line | 138 BEACON STR
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City | HAWORTH
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State | NJ
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Zip | 07641
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Country | US
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Telephone | 201-384-3515
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Fax | 201-384-3515
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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 | 22D100677700
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License Number State | NJ
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