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General NPI Number Information
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NPI Number | 1942008057
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Entity Type | Individual
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Provider Name | DAVID ROBERT PISKADLO DMD
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Gender | Male
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1 BAY AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07042-4837
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Country | US
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Telephone | 973-429-6888
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Fax |
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Provider Business Mailing Address
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Address Line | 18 HALL DR
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City | CLARK
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State | NJ
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Zip | 07066-2013
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Country | US
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Telephone | 908-358-7687
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | TBD
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License Number State | NJ
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