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General NPI Number Information
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NPI Number | 1841442498
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Entity Type | Organization
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Legal Business Name | FRANK R. DEPAOLA, DDS & ASSOC., LLC
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 07/21/2015
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Provider Practice Location Address
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Address Line | 1130 MAXWELL LN
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City | HOBOKEN
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State | NJ
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Zip | 07030-6872
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Country | US
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Telephone | 201-792-9400
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Fax | 201-792-9716
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Provider Business Mailing Address
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Address Line | 1130 MAXWELL LN
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City | HOBOKEN
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State | NJ
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Zip | 07030-6872
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Country | US
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Telephone | 201-792-9400
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Fax | 201-792-9716
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK R DEPAOLA JR.
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Credential | DDS
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Telephone | 201-792-9400
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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 | 19958
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License Number State | NJ
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