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General NPI Number Information
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NPI Number | 1992309850
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Entity Type | Organization
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Legal Business Name | TOMS RIVER DENTAL SERVICES LLC
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Dates
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Enumeration Date | 11/22/2020
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Last Update Date | 11/22/2020
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Provider Practice Location Address
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Address Line | 20 N MAIN ST
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-2905
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Country | US
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Telephone | 609-978-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 15 OLIVER ST APT 2H
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City | BROOKLYN
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State | NY
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Zip | 11209-6511
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Country | US
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Telephone | 917-561-0539
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH ALBANESE
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Credential | DMD
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Telephone | 718-987-6543
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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 |
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License Number State |
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