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General NPI Number Information
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NPI Number | 1124322326
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Entity Type | Organization
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Legal Business Name | EPHRATA FAMILY DENTISTRY LLC
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Dates
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Enumeration Date | 01/02/2011
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Last Update Date | 01/02/2011
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Provider Practice Location Address
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Address Line | 815 MARTIN AVE
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City | EPHRATA
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State | PA
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Zip | 17522-1642
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Country | US
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Telephone | 717-733-7971
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Fax | 717-738-4162
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Provider Business Mailing Address
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Address Line | 815 MARTIN AVE
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City | EPHRATA
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State | PA
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Zip | 17522-1642
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Country | US
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Telephone | 717-733-7971
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Fax | 717-738-4162
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN WILLIAM DEVER
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Credential | DMD
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Telephone | 717-733-7971
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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 | DS027756L
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License Number State | PA
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