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General NPI Number Information
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NPI Number | 1780966317
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Entity Type | Organization
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Legal Business Name | AMERICARE DENTAL P.A.
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 6418 BERGENLINE AVE
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-1621
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Country | US
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Telephone | 201-868-6400
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Fax | 201-868-6689
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Provider Business Mailing Address
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Address Line | 6418 BERGENLINE AVE
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-1621
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Country | US
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Telephone | 201-868-6400
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Fax | 201-868-6689
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMISH PATEL
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Credential | DMD
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Telephone | 267-221-9898
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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 | 22DI02347800
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License Number State | NJ
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