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General NPI Number Information
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NPI Number | 1770141624
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Entity Type | Individual
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Provider Name | CHRISTINA ROSE MCARDLE DMD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 07/05/2020
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Provider Practice Location Address
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Address Line | 2022 STATE ROUTE 71 STE 102
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City | SPRING LAKE
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State | NJ
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Zip | 07762-2291
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Country | US
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Telephone | 732-974-0909
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Fax |
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Provider Business Mailing Address
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Address Line | 8 MACLEISH DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1559
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Country | US
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Telephone | 732-713-5196
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI02787300
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License Number State | NJ
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