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General NPI Number Information
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NPI Number | 1831286715
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Entity Type | Organization
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Legal Business Name | PAUL S. GABIN, D.M.D. & GERALD J. PINCUS, D.M.D., P.A.
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 06/14/2008
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Provider Practice Location Address
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Address Line | 761 HUMBOLDT ST
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City | SECAUCUS
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State | NJ
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Zip | 07094-3232
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Country | US
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Telephone | 201-865-1150
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Fax | 201-865-1236
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Provider Business Mailing Address
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Address Line | 761 HUMBOLDT ST
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City | SECAUCUS
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State | NJ
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Zip | 07094-3232
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Country | US
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Telephone | 201-865-1150
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Fax | 201-865-1236
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL S. GABIN
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Credential | DMD
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Telephone | 201-865-1150
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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 | 10357
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License Number State | NJ
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