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General NPI Number Information
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NPI Number | 1770406142
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Entity Type | Individual
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Provider Name | ANYA ROSSINSKAYA
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 600 MOUNT PLEASANT AVE STE E
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City | DOVER
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State | NJ
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Zip | 07801-1630
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Country | US
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Telephone | 973-361-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 2467 NJ-10 22-5A
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950
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Country | US
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Telephone | 929-497-3830
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22DI03162400
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License Number State | NJ
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