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General NPI Number Information
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NPI Number | 1750762753
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Entity Type | Organization
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Legal Business Name | JANMEET GROVER DMD PC
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 1134 E MAIN ST
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City | STAMFORD
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State | CT
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Zip | 06902-4315
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Country | US
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Telephone | 917-972-6890
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Fax |
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Provider Business Mailing Address
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Address Line | 4 ANDREA CT
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City | GOSHEN
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State | NY
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Zip | 10924-5047
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Country | US
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Telephone | 917-972-6890
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JANMEET GROVER
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Credential | DMD
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Telephone | 917-972-6890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10580
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License Number State | CT
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