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General NPI Number Information
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NPI Number | 1700026085
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Entity Type | Individual
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Provider Name | DANIEL CHARLES BARABAS DDS, MSD
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Gender | Male
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 88 W RIDGEWOOD AVE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3199
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Country | US
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Telephone | 201-447-0855
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Fax |
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Provider Business Mailing Address
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Address Line | 88 W RIDGEWOOD AVE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3199
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Country | US
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Telephone | 201-447-0855
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Fax | 201-251-9059
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02390500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 06174
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License Number State | NJ
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