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General NPI Number Information
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NPI Number | 1972497071
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Entity Type | Individual
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Provider Name | ZYDRUNE RUDAVICIUTE DMD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 64 E SOMERSET ST
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City | RARITAN
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State | NJ
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Zip | 08869-2177
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Country | US
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Telephone | 908-725-1525
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Fax |
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Provider Business Mailing Address
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Address Line | 1803 BRECKENRIDGE PL
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City | TOMS RIVER
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State | NJ
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Zip | 08755-0931
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Country | US
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Telephone | 732-998-5950
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI03095600
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License Number State | NJ
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