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General NPI Number Information
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NPI Number | 1831128438
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Entity Type | Individual
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Provider Name | MAXINE STRICKLAND DMD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 333 CLINTON PL
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City | NEWARK
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State | NJ
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Zip | 07112-1563
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Country | US
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Telephone | 973-679-7698
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Fax |
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Provider Business Mailing Address
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Address Line | 67 MIDLAND AVE
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City | GLEN RIDGE
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State | NJ
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Zip | 07028-2031
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Country | US
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Telephone | 973-818-3282
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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 | 22DI01689208
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License Number State | NJ
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