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NPI 1861627978

NPI 1861627978 : CAGGIANO ORTHODONTICS LLC : PARSIPPANY, NJ

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General NPI Number Information
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    NPI Number           |    1861627978
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAGGIANO ORTHODONTICS LLC 
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Dates
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    Enumeration Date     |    05/19/2009
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    Last Update Date     |    05/19/2009
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Provider Practice Location Address
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    Address Line         |    316 PARSIPPANY RD 
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    City                 |    PARSIPPANY
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    State                |    NJ
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    Zip                  |    07054-1294
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    Country              |    US
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    Telephone            |    973-887-8780
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    Fax                  |    973-887-9045
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Provider Business Mailing Address
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    Address Line         |    316 PARSIPPANY RD 
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    City                 |    PARSIPPANY
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    State                |    NJ
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    Zip                  |    07054-1294
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    Country              |    US
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    Telephone            |    973-887-8780
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    Fax                  |    973-887-9045
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Authorized Official
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    Title or Position    |    ORTHODONTIST/OWNER
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    Name                 |    DR. DAVID  CAGGIANO 
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    Credential           |    M.S., D.M.D.
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    Telephone            |    973-887-8780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    22DI02157900
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    License Number State |    NJ
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