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General NPI Number Information
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NPI Number | 1689431108
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Entity Type | Individual
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Provider Name | ALI FARHAT DDS
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Gender | Male
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Dates
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Enumeration Date | 03/01/2024
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 5 FRANKLIN AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3532
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Country | US
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Telephone | 973-751-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 21 BIRCHWOOD CT
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City | EAST HANOVER
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State | NJ
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Zip | 07936-3141
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Country | US
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Telephone | 973-886-0469
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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 | 22DI02991900
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License Number State | NJ
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