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General NPI Number Information
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NPI Number | 1134435985
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Entity Type | Organization
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Legal Business Name | SUSAN E RINK, D.M.D., P.C.
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 112 N TURNPIKE RD
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City | DALTON
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State | PA
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Zip | 18414-9131
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Country | US
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Telephone | 570-563-2568
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Fax | 570-563-8289
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Provider Business Mailing Address
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Address Line | PO BOX 218 112 N. TURNPIKE ROAD
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City | DALTON
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State | PA
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Zip | 18414-0218
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Country | US
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Telephone | 570-563-2568
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Fax | 570-563-8289
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Authorized Official
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Title or Position | DENTIST
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Name | SUSAN E RINK
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Credential | D.M.D
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Telephone | 570-563-2568
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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 | DS025374L
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License Number State | PA
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