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General NPI Number Information
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NPI Number | 1063890143
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Entity Type | Organization
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Legal Business Name | CHALFONT DENTISTRY PC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 3425 LIMEKILN PIKE STE 5
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City | CHALFONT
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State | PA
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Zip | 18914-3602
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Country | US
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Telephone | 215-997-4434
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Fax |
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Provider Business Mailing Address
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Address Line | 3425 LIMEKILN PIKE STE 5
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City | CHALFONT
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State | PA
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Zip | 18914-3602
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Country | US
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Telephone | 215-997-4434
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SINDHU GUNDABATHULA
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Credential |
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Telephone | 215-997-4434
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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 |
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License Number State |
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