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General NPI Number Information
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NPI Number | 1043766785
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTURES & IMPLANTS - ERIE, P.C
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 7200 PEACH ST UNIT 340
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City | ERIE
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State | PA
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Zip | 16509-4759
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Country | US
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Telephone | 814-860-3366
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 PEACH ST UNIT 340
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City | ERIE
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State | PA
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Zip | 16509-4759
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Country | US
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Telephone | 814-860-3366
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | PETER DENNIS
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Credential | DDS
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Telephone | 814-860-3366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS031189L
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License Number State | PA
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