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General NPI Number Information
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NPI Number | 1881746808
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Entity Type | Individual
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Provider Name | PHILIP ZAVELOFF D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 402 W COUNTY LINE RD
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1211
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Country | US
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Telephone | 732-534-3244
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Fax | 732-534-3243
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Provider Business Mailing Address
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Address Line | 402 W COUNTY LINE RD
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1211
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Country | US
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Telephone | 732-534-3244
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Fax | 732-534-3243
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 051726
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 22D102785100
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License Number State | NY
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