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General NPI Number Information
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NPI Number | 1861011074
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Entity Type | Organization
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Legal Business Name | TRABUCHI & TRABUCHI D.D.S., P.A.
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 717 E ELMER ST
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City | VINELAND
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State | NJ
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Zip | 08360-4758
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Country | US
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Telephone | 856-691-2656
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Fax | 856-500-6356
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Provider Business Mailing Address
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Address Line | 717 E ELMER ST
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City | VINELAND
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State | NJ
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Zip | 08360-4758
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Country | US
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Telephone | 856-691-2656
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Fax | 856-500-6356
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN P TRABUCHI JR.
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Credential | DDS
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Telephone | 856-691-2656
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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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