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General NPI Number Information
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NPI Number | 1700084118
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Entity Type | Individual
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Provider Name | ASHLEY MARIE PAGANA D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 29 EMMONS DR STE C80
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City | PRINCETON
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State | NJ
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Zip | 08540-5983
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Country | US
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Telephone | 609-514-1666
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Fax |
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Provider Business Mailing Address
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Address Line | 600 PEMBERTON BROWNS MILLS RD
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City | PEMBERTON
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State | NJ
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Zip | 08068-1537
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02348500
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License Number State | NJ
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