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General NPI Number Information
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NPI Number | 1851969745
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Entity Type | Organization
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Legal Business Name | MITCHELL V SABBAGH DMD PC
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 110 NORWOOD AVE
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City | DEAL
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State | NJ
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Zip | 07723-1268
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Country | US
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Telephone | 732-531-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 110 NORWOOD AVE
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City | DEAL
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State | NJ
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Zip | 07723-1268
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Country | US
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Telephone | 325-313-3117
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MITCHELL SABBAGH
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Credential | DMD
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Telephone | 732-531-3311
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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 |
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License Number State |
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