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General NPI Number Information
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NPI Number | 1669286985
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Entity Type | Individual
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Provider Name | JANZEL GARZON DMD
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Gender | Male
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 6700 BERGENLINE AVE
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-1725
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Country | US
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Telephone | 551-300-0108
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Fax |
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Provider Business Mailing Address
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Address Line | 23 BELMONT AVE
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City | CLIFTON
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State | NJ
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Zip | 07012-1809
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Country | US
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Telephone | 813-394-7808
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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 | 22DI03052200
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License Number State | NJ
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