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General NPI Number Information
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NPI Number | 1104040419
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Entity Type | Organization
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Legal Business Name | PHILIP J LOSCO DMD PC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6518 STATE ROUTE 22 SALEM 22 PLAZA
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City | DELMONT
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State | PA
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Zip | 15626-2410
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Country | US
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Telephone | 724-468-3386
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Fax |
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Provider Business Mailing Address
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Address Line | 6518 STATE ROUTE 22 SALEM 22 PLAZA
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City | DELMONT
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State | PA
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Zip | 15626-2410
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Country | US
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Telephone | 724-468-3386
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. PHILIP J LOSCO
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Credential | DMD
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Telephone | 724-468-3386
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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 | DS 024655-L
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License Number State | PA
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