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General NPI Number Information
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NPI Number | 1154678381
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Entity Type | Organization
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Legal Business Name | F&S SMILES, LLC
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 141 WILSON AVE SUITE E
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City | HANOVER
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State | PA
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Zip | 17331-1453
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Country | US
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Telephone | 717-634-2461
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Fax | 717-634-2584
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Provider Business Mailing Address
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Address Line | 141 WILSON AVE SUITE E
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City | HANOVER
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State | PA
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Zip | 17331-1453
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Country | US
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Telephone | 717-634-2461
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Fax | 717-634-2584
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | DR. JASON SHOE
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Credential | DMD MS
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Telephone | 717-634-2461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | PA
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