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General NPI Number Information
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NPI Number | 1851574883
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Entity Type | Organization
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Legal Business Name | ALLCARE DENTAL GROUP
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 03/21/2014
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Provider Practice Location Address
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Address Line | 483 S ORANGE AVE
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-2642
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Country | US
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Telephone | 973-762-3399
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Fax | 973-762-3397
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Provider Business Mailing Address
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Address Line | 483 S ORANGE AVE
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-2642
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Country | US
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Telephone | 973-762-3399
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Fax | 973-762-3397
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. JANICE BELL
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Credential | DMD
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Telephone | 973-762-3399
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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 | DI018905
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License Number State | NJ
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