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General NPI Number Information
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NPI Number | 1669041521
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Entity Type | Individual
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Provider Name | JESSICA AZER DMD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 443 NORTHFIELD AVE FL 101
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City | WEST ORANGE
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State | NJ
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Zip | 07052-3022
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Country | US
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Telephone | 973-672-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 32 OVERHILL DR
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3543
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Country | US
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Telephone | 609-664-1329
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DR03630
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 22DR03630
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DI02936100
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License Number State | NJ
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