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General NPI Number Information
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NPI Number | 1184934663
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Entity Type | Individual
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Provider Name | NEIL I PAKETT D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 43 S. LANSDOWNE AVE.
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City | LANSDOWNE
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State | PA
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Zip | 19050
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Country | US
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Telephone | 215-336-8873
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Fax | 610-623-0023
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Provider Business Mailing Address
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Address Line | 659 FOXCROFT ROAD
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City | ELKINS PARK
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State | PA
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Zip | 19027-1506
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Country | US
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Telephone | 610-623-7610
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Fax | 610-284-9995
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DS019317L
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License Number State | PA
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