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General NPI Number Information
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NPI Number | 1861521049
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Entity Type | Organization
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Legal Business Name | 46 DENTAL, PC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 11/11/2011
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Provider Practice Location Address
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Address Line | 225 US HIGHWAY 46 STE 10
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City | TOTOWA
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State | NJ
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Zip | 07512-1814
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Country | US
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Telephone | 973-890-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 225 US HIGHWAY 46 STE 10
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City | TOTOWA
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State | NJ
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Zip | 07512-1814
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Country | US
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Telephone | 973-890-8811
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DRUMIL L YAGNIK
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Credential | DDS
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Telephone | 973-890-8811
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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 | DI19467
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License Number State | NJ
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