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General NPI Number Information
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NPI Number | 1083588123
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Entity Type | Organization
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Legal Business Name | NBL MOBILE PENN, INC.
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 722 MARKET ST FL 1
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City | PHILADELPHIA
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State | PA
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Zip | 19106-2312
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Country | US
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Telephone | 801-430-9262
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Fax |
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Provider Business Mailing Address
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Address Line | 722 MARKET ST FL 1
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City | PHILADELPHIA
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State | PA
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Zip | 19106-2312
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Country | US
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Telephone | 801-430-9262
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA KIHN
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Credential |
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Telephone | 717-515-8418
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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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