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General NPI Number Information
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NPI Number | 1134054158
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Entity Type | Organization
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Legal Business Name | ELIZABETHTOWN FAMILY DENTISTRY, PLLC
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Dates
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Enumeration Date | 06/13/2026
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Last Update Date | 06/13/2026
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Provider Practice Location Address
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Address Line | 102 W HIGH ST
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-2019
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Country | US
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Telephone | 717-367-1560
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Fax | 717-367-8856
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Provider Business Mailing Address
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Address Line | 102 W HIGH ST
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-2019
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Country | US
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Telephone | 717-367-1560
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Fax | 717-367-8856
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Authorized Official
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Title or Position | MEMBER
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Name | DR. GENNA VEGH
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Credential | DMD
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Telephone | 301-514-2464
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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 |
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License Number State |
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