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General NPI Number Information
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NPI Number | 1689694762
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Entity Type | Individual
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Provider Name | MICHAEL J BIXBY D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 2240 STATE ROUTE 33 STE 114
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City | NEPTUNE CITY
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State | NJ
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Zip | 07753-6121
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Country | US
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Telephone | 732-455-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 2240 STATE ROUTE 33 STE 114
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City | NEPTUNE CITY
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State | NJ
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Zip | 07753-6121
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Country | US
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Telephone | 732-455-3030
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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 | DI 20386
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License Number State | NJ
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