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General NPI Number Information
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NPI Number | 1013209428
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Entity Type | Organization
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Legal Business Name | DENTAL DELIVERY SYSTEMS PA
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 05/04/2011
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Provider Practice Location Address
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Address Line | 245 PATERSON AVE
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City | LITTLE FALLS
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State | NJ
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Zip | 07424-4629
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Country | US
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Telephone | 973-256-3912
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Fax |
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Provider Business Mailing Address
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Address Line | 2826 MOUNT CARMEL AVE
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City | GLENSIDE
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State | PA
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Zip | 19038-2245
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Country | US
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Telephone | 215-224-8888
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARIO MELE
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Credential |
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Telephone | 215-224-8888
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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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