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General NPI Number Information
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NPI Number | 1881455343
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Entity Type | Organization
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Legal Business Name | APOLLONIA DENTAL GROUP LLC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 37 GILL LN
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City | ISELIN
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State | NJ
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Zip | 08830-2800
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Country | US
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Telephone | 732-283-0500
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Fax | 732-283-3858
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Provider Business Mailing Address
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Address Line | 2034 AMWELL RD
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City | SOMERSET
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State | NJ
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Zip | 08873-7027
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Country | US
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Telephone | 646-288-7496
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANNA POKRYWKA
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Credential | DMD
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Telephone | 646-288-7496
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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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