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General NPI Number Information
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NPI Number | 1205615002
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Entity Type | Organization
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Legal Business Name | EMBER DENTAL ARTS
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 625 W. RIDGE PIKE BUILDING D, STE 103
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428
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Country | US
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Telephone | 619-755-6810
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Fax |
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Provider Business Mailing Address
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Address Line | 236 DELMAR ST
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City | PHILADELPHIA
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State | PA
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Zip | 19128-4501
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HEATHER ROWLANDS
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Credential | DDS
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Telephone | 619-755-6810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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