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General NPI Number Information
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NPI Number | 1891963666
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Entity Type | Individual
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Provider Name | MOHAMMED SALEH ERAKAT DMD, MD
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Gender | Male
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 05/15/2014
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Provider Practice Location Address
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Address Line | 3700 ROUTE 27 SUITE 103
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City | PRINCETON
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State | NJ
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Zip | 08540-9610
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Country | US
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Telephone | 732-297-7000
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Fax | 732-297-3638
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Provider Business Mailing Address
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Address Line | 3700 ROUTE 27 SUITE 103
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City | PRINCETON
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State | NJ
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Zip | 08540-9610
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Country | US
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Telephone | 732-297-7000
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Fax | 732-297-3638
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 22DI0233870
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 055841-1
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License Number State | NY
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