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General NPI Number Information
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NPI Number | 1194948836
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Entity Type | Organization
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Legal Business Name | ACUMEN DENTAL, P.C.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1133 COTTMAN AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-3647
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Country | US
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Telephone | 215-742-7139
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Fax | 215-742-7139
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Provider Business Mailing Address
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Address Line | 1133 COTTMAN AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-3647
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Country | US
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Telephone | 215-742-7139
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Fax | 215-742-7139
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Authorized Official
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Title or Position | OWNER
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Name | DR. DIANE FENG
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Credential | D.M.D.
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Telephone | 215-742-7139
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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 | DS029122Y
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License Number State | PA
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