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General NPI Number Information
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NPI Number | 1871516823
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Entity Type | Organization
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Legal Business Name | HAMBERGER DENTAL ASSOCIATES, PA
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 155 S LIVINGSTON AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3030
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Country | US
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Telephone | 973-992-0075
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Fax | 973-992-4811
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Provider Business Mailing Address
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Address Line | 155 S LIVINGSTON AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3030
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Country | US
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Telephone | 973-992-0075
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Fax | 973-992-4811
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JOHN T HAMBERGER JR.
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Credential | D.M.D.
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Telephone | 973-992-0075
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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 | 14043NJ
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License Number State | NJ
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