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General NPI Number Information
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NPI Number | 1962368407
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Entity Type | Organization
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Legal Business Name | HALL & BIENSTOCK ORAL & MAXILLOFACIAL SURGERY GROUP
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 9 E PEDREGOSA ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2416
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Country | US
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Telephone | 805-569-1889
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Fax | 805-569-3070
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Provider Business Mailing Address
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Address Line | 9 E PEDREGOSA ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2416
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Country | US
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Telephone | 805-569-1889
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Fax | 805-569-3070
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | JENNIFER HERITAGE
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Credential |
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Telephone | 402-805-4516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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