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General NPI Number Information
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NPI Number | 1922418276
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Entity Type | Organization
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Legal Business Name | MORRIS COUNTY ENDODONTICS LLC
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 141 US HIGHWAY 46 LL
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City | ROCKAWAY
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State | NJ
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Zip | 07866-4018
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Country | US
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Telephone | 973-625-3384
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Fax |
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Provider Business Mailing Address
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Address Line | 141 US HIGHWAY 46 LL
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City | ROCKAWAY
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State | NJ
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Zip | 07866-4018
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Country | US
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Telephone | 973-625-3384
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AARON DOUGLASS AUE
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Credential | D.D.S., M.S.
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Telephone | 973-625-3384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 22DI024331300
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License Number State | NJ
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