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General NPI Number Information
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NPI Number | 1003077132
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Entity Type | Organization
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Legal Business Name | PENNSQUAREDENTALASSOCIATES P.C.
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 228 BRYANS RD
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City | NORRISTOWN
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State | PA
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Zip | 19401-1306
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Country | US
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Telephone | 610-272-5765
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Fax |
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Provider Business Mailing Address
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Address Line | 228 BRYANS RD
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City | NORRISTOWN
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State | PA
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Zip | 19401-1306
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Country | US
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Telephone | 610-272-5765
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Fax |
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Authorized Official
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Title or Position | VP/OWNER
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Name | DR. THOMAS CHARLES CHECK
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Credential | DMD
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Telephone | 610-272-5765
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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 | DS25968L
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License Number State | PA
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