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General NPI Number Information
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NPI Number | 1073641569
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Entity Type | Organization
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Legal Business Name | LAURA ADELMAN DMD & ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 9964 VAIL DR SUITE 1
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City | TWINSBURG
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State | OH
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Zip | 44087-2972
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Country | US
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Telephone | 330-425-1885
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Fax | 330-425-1589
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Provider Business Mailing Address
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Address Line | 9964 VAIL DR SUITE 1
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City | TWINSBURG
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State | OH
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Zip | 44087-4900
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Country | US
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Telephone | 330-425-1885
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Fax | 330-425-1589
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAURA ADELMAN
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Credential | DMD
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Telephone | 330-425-1885
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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 | 19855
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License Number State | OH
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