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General NPI Number Information
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NPI Number | 1932268158
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Entity Type | Individual
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Provider Name | HOWARD JAY DREW DMD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 223 LENOX AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-2135
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Country | US
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Telephone | 908-232-8228
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Fax | 908-232-5792
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Provider Business Mailing Address
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Address Line | 50 FARMSTEAD RD
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City | SHORT HILLS
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State | NJ
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Zip | 07078-1225
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Country | US
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Telephone | 973-564-6134
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 13506
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License Number State | NJ
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