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General NPI Number Information
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NPI Number | 1154823847
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Entity Type | Organization
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Legal Business Name | MONDA & WEISS FAMILY DENTISTRY
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Dates
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Enumeration Date | 03/08/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 534 LINCOLN AVE
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City | BELLEVUE
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State | PA
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Zip | 15202-3559
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Country | US
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Telephone | 412-766-7532
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Fax | 412-766-9221
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Provider Business Mailing Address
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Address Line | 534 LINCOLN AVE
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City | BELLEVUE
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State | PA
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Zip | 15202-3559
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Country | US
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Telephone | 412-766-7532
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Fax | 412-766-9221
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BONNIE LOUISE SANTUCCI
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Credential |
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Telephone | 412-766-7532
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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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