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General NPI Number Information
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NPI Number | 1861543134
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Entity Type | Individual
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Provider Name | ZEV SEGAL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 315 E NORTHFIELD RD SUITE 2-F
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4896
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Country | US
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Telephone | 973-597-9010
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Fax | 973-597-9008
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Provider Business Mailing Address
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Address Line | 315 E NORTHFIELD RD SUITE 2-F
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4896
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Country | US
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Telephone | 973-597-9010
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Fax | 973-597-9008
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 19031
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License Number State | NJ
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