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General NPI Number Information
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NPI Number | 1790824217
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Entity Type | Organization
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Legal Business Name | MONROE ORAL SURGERY GROUP,L.L.C.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18 CENTRE DRIVE SUITE 202
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831
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Country | US
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Telephone | 609-395-8300
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Fax | 609-395-9650
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Provider Business Mailing Address
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Address Line | 18 CENTRE DRIVE SUITE 202
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831
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Country | US
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Telephone | 609-395-8300
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Fax | 609-395-9650
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Authorized Official
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Title or Position | ORAL AND MAXILLOFACIAL SURGEON
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Name | DR. RICHARD ANDREW SALMAN
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Credential | D.D.S.
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Telephone | 609-395-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 22DI01533401
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License Number State | NJ
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