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General NPI Number Information
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NPI Number | 1881962108
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Entity Type | Individual
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Provider Name | ARNAV R MISTRY DMD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 810 BARNEGAT AVE STE A
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City | SHIP BOTTOM
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State | NJ
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Zip | 08008
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Country | US
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Telephone | 609-361-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 218 SADDLEBROOK DR
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City | BENSALEM
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State | PA
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Zip | 19020-7834
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Country | US
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Telephone | 215-698-9404
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Fax |
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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 | 22DI02590900
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License Number State | NJ
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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 | DS038901
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License Number State | PA
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