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General NPI Number Information
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NPI Number | 1114691425
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Entity Type | Organization
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Legal Business Name | NESHAMINY DENTAL CARE PC
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 4201 NESHAMINY BLVD STE 117
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City | BENSALEM
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State | PA
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Zip | 19020-1620
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Country | US
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Telephone | 215-396-9080
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 NESHAMINY BLVD STE 117
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City | BENSALEM
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State | PA
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Zip | 19020-1620
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Country | US
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Telephone | 215-396-9080
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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. DILIP DUDHAT
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Credential |
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Telephone | 215-396-9080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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