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General NPI Number Information
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NPI Number | 1760819569
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Entity Type | Organization
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Legal Business Name | DENTAL CARE OF VERNON, PA
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Dates
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Enumeration Date | 10/11/2013
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Last Update Date | 10/11/2013
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Provider Practice Location Address
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Address Line | 40 ROUTE 94 VERNON COLONIAL PLAZA
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City | MCAFEE
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State | NJ
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Zip | 07428
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Country | US
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Telephone | 973-209-4944
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Fax |
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Provider Business Mailing Address
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Address Line | 40 ROUTE 94 VERNON COLONIAL PLAZA
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City | MCAFEE
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State | NJ
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Zip | 07428
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Country | US
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Telephone | 973-209-4944
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | NIKUNJ ZALAVADIA
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Credential | DMD
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Telephone | 973-209-4944
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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 | 22DI02513001
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License Number State | NJ
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