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General NPI Number Information
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NPI Number | 1801063854
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Entity Type | Individual
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Provider Name | PRABHJOT SINGH DDS
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Gender | Male
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 1030 ST. GEORGES AVE ROOM B-854
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City | AVENEL
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State | NJ
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Zip | 07001
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Country | US
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Telephone | 732-750-3600
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Fax | 732-750-3696
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Provider Business Mailing Address
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Address Line | 301 CONSTITUTION AVE APT 401
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City | BAYONNE
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State | NJ
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Zip | 07002
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Country | US
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Telephone | 201-339-4546
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI02313300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | DI02313300
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License Number State | NJ
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