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General NPI Number Information
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NPI Number | 1699072777
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Entity Type | Organization
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Legal Business Name | N N GANDHI DDS LLC
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Dates
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Enumeration Date | 02/25/2011
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 5005 BERGENLINE AVE
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-5563
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Country | US
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Telephone | 201-866-0993
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Fax | 201-866-7707
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Provider Business Mailing Address
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Address Line | 5005 BERGENLINE AVE
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-5563
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Country | US
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Telephone | 201-866-0993
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Fax | 201-866-7707
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Authorized Official
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Title or Position | OWNER
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Name | DR. NARESHKUMAR N GANDHI
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Credential | D.D.S
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Telephone | 201-866-0993
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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 | DI017832
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License Number State | NJ
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