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General NPI Number Information
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NPI Number | 1962642090
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Entity Type | Organization
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Legal Business Name | ADCARE DENTAL LLP
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 03/02/2009
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Provider Practice Location Address
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Address Line | 2200 HWY 66 SUITE 8
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City | NEPTUNE
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State | NJ
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Zip | 07753-4062
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Country | US
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Telephone | 732-775-7800
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Fax | 732-775-7877
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Provider Business Mailing Address
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Address Line | 2200 HWY 66 SUITE 8
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City | NEPTUNE
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State | NJ
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Zip | 07753-4062
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Country | US
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Telephone | 732-775-7800
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Fax | 732-775-7877
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MICHAEL GINSBERG
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Credential | D.M.D.
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Telephone | 732-775-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 024025
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License Number State | NJ
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