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General NPI Number Information
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NPI Number | 1740893684
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Entity Type | Individual
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Provider Name | AUSTIN RAMSEY DDS
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Gender | Male
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Dates
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Enumeration Date | 08/29/2020
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Last Update Date | 08/29/2020
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Provider Practice Location Address
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Address Line | 460 BLOOMFIELD AVE STE 311
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3552
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Country | US
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Telephone | 973-783-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 385 1ST AVE APT 11A
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City | NEW YORK
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State | NY
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Zip | 10010-4832
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Country | US
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Telephone | 615-403-1932
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 22DI02809400
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License Number State | NJ
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