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General NPI Number Information
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NPI Number | 1790091395
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Entity Type | Individual
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Provider Name | DANA KUPFER DMD
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Gender | Female
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 1162 SPRINGIELD AVE
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-2906
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Country | US
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Telephone | 908-789-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 916 HAVILAND DR
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City | HILLSIDE
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State | NJ
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Zip | 07205-2906
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Country | US
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Telephone | 908-351-2244
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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 | 22DI02445800
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License Number State | NJ
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