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General NPI Number Information
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NPI Number | 1063406403
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Entity Type | Individual
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Provider Name | SUSAN ADELE ARMSTRONG DDS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 01/15/2009
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Provider Practice Location Address
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Address Line | 9 E MAIN ST
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3382
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Country | US
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Telephone | 856-235-0415
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Fax | 856-235-4787
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Provider Business Mailing Address
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Address Line | 9 E MAIN ST
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3382
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Country | US
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Telephone | 856-235-0415
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Fax | 856-235-4787
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS036117
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22DI02197700
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License Number State | NJ
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