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General NPI Number Information
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NPI Number | 1154137727
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Entity Type | Organization
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Legal Business Name | GREEN HILLS DENTAL
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 2121 MORGANTOWN RD
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City | READING
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State | PA
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Zip | 19607-9623
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Country | US
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Telephone | 610-775-4840
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 MORGANTOWN RD
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City | READING
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State | PA
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Zip | 19607-9623
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Country | US
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Telephone | 610-775-4840
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. ALI SHARIFBEIGI
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Credential | DDS
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Telephone | 201-562-3495
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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 |
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License Number State |
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