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General NPI Number Information
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NPI Number | 1083701726
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Entity Type | Organization
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Legal Business Name | NORTHERN CAMBRIA DENTISTS
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2056 PLANK ROAD
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City | CARROLLTOWN
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State | PA
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Zip | 15722-0598
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Country | US
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Telephone | 814-344-6644
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Fax | 814-344-6332
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Provider Business Mailing Address
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Address Line | 2056 PLANK ROAD
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City | CARROLLTOWN
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State | PA
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Zip | 15722-0598
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Country | US
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Telephone | 814-344-6644
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Fax | 814-344-6332
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Authorized Official
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Title or Position | PARTNER
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Name | JOHN BERNARD LOVETTE II
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Credential | DDS
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Telephone | 814-344-6644
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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 | DS019482L
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License Number State | PA
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