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General NPI Number Information
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NPI Number | 1700084001
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Entity Type | Individual
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Provider Name | JEFFREY MARC ASEN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3322 US HIGHWAY 22 SUITE 503
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3476
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Country | US
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Telephone | 908-595-1000
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Fax | 908-595-0600
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Provider Business Mailing Address
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Address Line | 3322 US HIGHWAY 22 SUITE 503
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3476
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Country | US
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Telephone | 908-595-1000
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Fax | 908-595-0600
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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 | DI 11927
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License Number State | NJ
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