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General NPI Number Information
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NPI Number | 1942772603
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Entity Type | Organization
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Legal Business Name | RAILROAD PLAZA DENTAL ASSOCIATES SPEC LLC
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 2 RAILROAD PLZ STE 2
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City | WHIPPANY
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State | NJ
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Zip | 07981-1548
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Country | US
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Telephone | 973-578-8788
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Fax | 973-578-8799
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Provider Business Mailing Address
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Address Line | 2 RAILROAD PLZ STE 2
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City | WHIPPANY
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State | NJ
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Zip | 07981-1548
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Country | US
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Telephone | 973-578-8788
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Fax | 973-578-8799
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL ETHAN SKOLNICK
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Credential |
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Telephone | 973-578-8788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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