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General NPI Number Information
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NPI Number | 1205051935
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Entity Type | Individual
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Provider Name | JANET LEE. POPE D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 6878 ERIE ROAD SUITE 5
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City | DERBY
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State | NY
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Zip | 14047-9508
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Country | US
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Telephone | 716-947-4652
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Fax | 716-947-5758
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Provider Business Mailing Address
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Address Line | 6878 ERIE ROAD SUITE 5
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City | DERBY
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State | NY
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Zip | 14047-9508
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Country | US
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Telephone | 716-947-4652
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Fax | 716-947-5758
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 033001
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License Number State | NY
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