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General NPI Number Information
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NPI Number | 1952144925
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Entity Type | Individual
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Provider Name | JOSEPH ELIAS CHOUKAIR DMD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 2115 US HIGHWAY 22 W STE 3
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City | UNION
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State | NJ
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Zip | 07083-8409
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Country | US
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Telephone | 908-364-4164
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Fax |
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Provider Business Mailing Address
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Address Line | 102 HURLEY DR
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-1830
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Country | US
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Telephone | 908-872-4049
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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 | 22DI03030700
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License Number State | NJ
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