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General NPI Number Information
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NPI Number | 1083927305
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Entity Type | Organization
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Legal Business Name | ALAN V DILSAVER DDS LTD
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 07/15/2010
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Provider Practice Location Address
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Address Line | 2601 NAZARETH RD
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City | EASTON
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State | PA
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Zip | 18045-2714
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Country | US
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Telephone | 610-252-7414
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 NAZARETH RD
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City | EASTON
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State | PA
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Zip | 18045-2714
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Country | US
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Telephone | 610-252-7414
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN V DILSAVER
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Credential | DDS
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Telephone | 610-252-7414
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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 | DS-23833L
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License Number State | PA
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