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General NPI Number Information
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NPI Number | 1831277979
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Entity Type | Organization
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Legal Business Name | PEDIATRIC DENTAL CARE
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 167 AVENUE OF THE CMN STE 16
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4557
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Country | US
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Telephone | 732-544-0050
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Fax | 732-544-0661
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Provider Business Mailing Address
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Address Line | 167 AVENUE OF THE CMN STE 16
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4557
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Country | US
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Telephone | 732-544-0050
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Fax | 732-544-0661
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. ROBERT F. MCGUIRE
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Credential | D.D.S.
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Telephone | 732-544-0050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 8918
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License Number State | NJ
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