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General NPI Number Information
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NPI Number | 1972527471
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Entity Type | Organization
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Legal Business Name | HARRY P GROSSMAN DMD PA
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2864 STATE ROUTE 27 LINCOLN PROFESSIONAL CENTER SUITE B
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-5010
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Country | US
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Telephone | 723-297-6111
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Fax | 732-297-7177
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Provider Business Mailing Address
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Address Line | 2864 STATE RT.27 LINCOLN PROFESSIONAL CENTER SUITE B
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902
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Country | US
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Telephone | 723-297-6111
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Fax | 732-297-7177
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Authorized Official
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Title or Position | PRES.
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Name | DR. HARRY PHILIP GROSSMAN
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Credential | D.M.D.
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Telephone | 732-297-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 9146
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License Number State | NJ
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