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General NPI Number Information
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NPI Number | 1710005913
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Entity Type | Organization
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Legal Business Name | CHRISTINE M OHEA DMD MDS PC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 316 PARSIPPANY RD
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City | PARSIPPANY
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State | NJ
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Zip | 07054-1294
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Country | US
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Telephone | 973-887-8780
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Fax | 973-887-9045
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Provider Business Mailing Address
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Address Line | 316 PARSIPPANY RD
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City | PARSIPPANY
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State | NJ
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Zip | 07054-1294
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Country | US
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Telephone | 973-887-8780
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Fax | 973-887-9045
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTINE OHEA
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Credential | DMD MDS
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Telephone | 973-887-8780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DI020710
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License Number State | NJ
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