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General NPI Number Information
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NPI Number | 1962768408
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Entity Type | Organization
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Legal Business Name | MAHA K. KAGA, D.M.D., LLC
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 225 DEMOTT LN 2ND FLOOR, SUITE 5
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City | SOMERSET
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State | NJ
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Zip | 08873-4875
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Country | US
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Telephone | 732-873-3333
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Fax | 732-873-3471
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Provider Business Mailing Address
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Address Line | 225 DEMOTT LN 2ND FLOOR, SUITE 5
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City | SOMERSET
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State | NJ
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Zip | 08873-4875
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Country | US
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Telephone | 732-873-3333
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Fax | 732-873-3471
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. MAHA K. KAGA
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Credential | D.M.D.
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Telephone | 732-873-3333
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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 | 22DI02129200
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License Number State | NJ
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